Anthem Blue Cross Blue Shield of California prior authorization 77439

Anthem Blue Cross Blue Shield of California prior authorization for 77439: Surface radiation therapy, superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment

Code: 77439
Description: Surface radiation therapy, superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment
Source: California PPO Prior Authorization List, Pg 121 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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