Blue Cross and Blue Shield of Montana prior authorization 81522

Blue Cross and Blue Shield of Montana prior authorization for 81522: Oncology (Breast) Mrna Gene Expression Profiling By Rt-Pcr Of 12 Genes (8 Content And 4 Housekeeping) Utilizing Formalin- Fixed Paraffin-Embedded Tissue Algorithm Reported As Recurrence Risk Score

Code: 81522
Description: Oncology (Breast) Mrna Gene Expression Profiling By Rt-Pcr Of 12 Genes (8 Content And 4 Housekeeping) Utilizing Formalin- Fixed Paraffin-Embedded Tissue Algorithm Reported As Recurrence Risk Score
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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