Anthem Blue Cross Blue Shield of Georgia prior authorization 81504

Anthem Blue Cross Blue Shield of Georgia prior authorization for 81504: Oncology (tissue of origin), microarray gene expression profiling of• 2000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores

Code: 81504
Description: Oncology (tissue of origin), microarray gene expression profiling of• 2000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores
Source: Standard Local Prior Authorization Code List, Pg 52 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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