Anthem Blue Cross and Blue Shield Virginia prior authorization 77373
Anthem Blue Cross and Blue Shield Virginia prior authorization for 77373: Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, en
- Code
- 77373
- Description
- Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, en
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization