Anthem Blue Cross Blue Shield of Colorado prior authorization 64634

Anthem Blue Cross Blue Shield of Colorado prior authorization for 64634: Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Cervical Or Thoracic, Each Additional Facet Joint (List Separat

Code: 64634
Description: Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Cervical Or Thoracic, Each Additional Facet Joint (List Separat
Source: Colorado Prior Authorization List, Pg 78 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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