Anthem Blue Cross Blue Shield of Colorado prior authorization 64636

Anthem Blue Cross Blue Shield of Colorado prior authorization for 64636: Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Lumbar Or Sacral, Each Additional Facet Joint (List Separately

Code: 64636
Description: Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Lumbar Or Sacral, Each Additional Facet Joint (List Separately
Source: Colorado Prior Authorization List, Pg 78 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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