Anthem Blue Cross Blue Shield of California prior authorization 0412U

Anthem Blue Cross Blue Shield of California prior authorization for 0412U: Beta amyloid, Aβ42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoformspecific proteotyping, plasma combined with age, algorithm reported as presence or absence of brain amyloid pathology

Code: 0412U
Description: Beta amyloid, Aβ42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoformspecific proteotyping, plasma combined with age, algorithm reported as presence or absence of brain amyloid pathology
Source: California PPO Prior Authorization List, Pg 21 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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