Anthem Blue Cross and Blue Shield Virginia prior authorization 77407

Anthem Blue Cross and Blue Shield Virginia prior authorization for 77407: Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed

Code: 77407
Description: Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 30 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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