Anthem Blue Cross and Blue Shield Virginia prior authorization 80414

Anthem Blue Cross and Blue Shield Virginia prior authorization for 80414: Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples)

Code: 80414
Description: Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples)
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 31 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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