Blue Cross and Blue Shield of Montana prior authorization 81170

Blue Cross and Blue Shield of Montana prior authorization for 81170: Abl1 (Abl Proto-Oncogene 1 Non-Receptor Tyrosine Kinase) (Eg Acquired Imatinib Tyrosine Kinase Inhibitor Resistance) Gene Analysis Variants In The Kinase Domain

Code: 81170
Description: Abl1 (Abl Proto-Oncogene 1 Non-Receptor Tyrosine Kinase) (Eg Acquired Imatinib Tyrosine Kinase Inhibitor Resistance) Gene Analysis Variants In The Kinase Domain
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 102 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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