Blue Cross and Blue Shield of Montana prior authorization 78802

Blue Cross and Blue Shield of Montana prior authorization for 78802: Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Planar Whole Body Single Day Imaging

Code: 78802
Description: Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Planar Whole Body Single Day Imaging
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 97 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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