Blue Cross and Blue Shield of Montana prior authorization 75635

Blue Cross and Blue Shield of Montana prior authorization for 75635: Computed Tomographic Angiography Abdominal Aorta And Bilateral Iliofemoral Lower Extremity Runoff With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing

Code: 75635
Description: Computed Tomographic Angiography Abdominal Aorta And Bilateral Iliofemoral Lower Extremity Runoff With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 84 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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