Blue Cross and Blue Shield of Montana prior authorization G6017

Blue Cross and Blue Shield of Montana prior authorization for G6017: Intra-Fraction Localization And Tracking Of Target Or Patient Motion During Delivery Of Radiation Therapy (Eg 3D Positional Tracking Gating 3D Surface Tracking) Each Fraction Of Treatment

Code: G6017
Description: Intra-Fraction Localization And Tracking Of Target Or Patient Motion During Delivery Of Radiation Therapy (Eg 3D Positional Tracking Gating 3D Surface Tracking) Each Fraction Of Treatment
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 269 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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