Anthem Blue Cross Blue Shield of Colorado prior authorization Q2043

Anthem Blue Cross Blue Shield of Colorado 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

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
Source: Colorado Prior Authorization List, Pg 166 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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