Anthem Blue Cross Blue Shield of California prior authorization 58954

Anthem Blue Cross Blue Shield of California prior authorization for 58954: Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Code
58954
Description
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
Source
California PPO Prior Authorization List, Pg 10 Original policy

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