Blue Cross and Blue Shield of Montana prior authorization 0047U

Blue Cross and Blue Shield of Montana prior authorization for 0047U: Oncology (Prostate) Mrna Gene Expression Profiling By Real-Time Rt-Pcr Of 17 Genes (12 Content And 5 Housekeeping) Utilizing Formalin-Fixed Paraffin-Embedded Tissue Algorithm Reported As A Risk Score

Code: 0047U
Description: Oncology (Prostate) Mrna Gene Expression Profiling By Real-Time Rt-Pcr Of 17 Genes (12 Content And 5 Housekeeping) Utilizing Formalin-Fixed Paraffin-Embedded Tissue Algorithm Reported As A Risk Score
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 169 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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