Blue Cross and Blue Shield of Montana prior authorization 77048

Blue Cross and Blue Shield of Montana prior authorization for 77048: Magnetic Resonance Imaging Breast Without And With Contrast Material(S) Including Computer-Aided Detection (Cad Real-Time Lesion Detection Characterization And Pharmacokinetic Analysis) When Performed; Unilateral

Code: 77048
Description: Magnetic Resonance Imaging Breast Without And With Contrast Material(S) Including Computer-Aided Detection (Cad Real-Time Lesion Detection Characterization And Pharmacokinetic Analysis) When Performed; Unilateral
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 85 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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