Anthem Blue Cross Blue Shield of Georgia prior authorization Q2043

Anthem Blue Cross Blue Shield of Georgia 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: Standard Local Prior Authorization Code List, Pg 149 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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