Blue Cross and Blue Shield of Montana prior authorization 81542

Blue Cross and Blue Shield of Montana prior authorization for 81542: Oncology (Prostate) Mrna Microarray Gene Expression Profiling Of 22 Content Genes Utilizing Formalin-Fixed Paraffin- Embedded Tissue Algorithm Reported As Metastasis Risk Score

Code: 81542
Description: Oncology (Prostate) Mrna Microarray Gene Expression Profiling Of 22 Content Genes Utilizing Formalin-Fixed Paraffin- Embedded Tissue Algorithm Reported As Metastasis Risk Score
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 155 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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