Blue Cross and Blue Shield of Montana prior authorization 78804

Blue Cross and Blue Shield of Montana prior authorization for 78804: Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Planar Whole Body Requiring 2 Or More Days Imaging

Code: 78804
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 Requiring 2 Or More Days Imaging
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 98 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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