Blue Cross and Blue Shield of Montana prior authorization 81521

Blue Cross and Blue Shield of Montana prior authorization for 81521: Oncology (Breast) Mrna Microarray Gene Expression Profiling Of 70 Content Genes And 465 Housekeeping Genes Utilizing Fresh Frozen Or Formalin-Fixed Paraffin- Embedded Tissue Algorithm Reported As Index Related To Risk Of Distant Metastasis

Code: 81521
Description: Oncology (Breast) Mrna Microarray Gene Expression Profiling Of 70 Content Genes And 465 Housekeeping Genes Utilizing Fresh Frozen Or Formalin-Fixed Paraffin- Embedded Tissue Algorithm Reported As Index Related To Risk Of Distant Metastasis
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 153 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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