Anthem Blue Cross and Blue Shield Virginia prior authorization 75574

Anthem Blue Cross and Blue Shield Virginia prior authorization for 75574: Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, inc

Code: 75574
Description: Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, inc
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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