Anthem Blue Cross Blue Shield of California prior authorization Q2043
Anthem Blue Cross Blue Shield of California prior authorization for Q2043: Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge)
- Code
- Q2043
- Description
- Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge)
- Source
- California PPO Prior Authorization List, Pg 170 Original policy
Anthem Blue Cross Blue Shield of California prior authorization