Blue Cross Blue Shield Oklahoma prior authorization 74713

Blue Cross Blue Shield Oklahoma prior authorization for 74713: Magnetic Resonance (Eg Proton) Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed; Each Additional Gestation (List Separately In Addition To Code For Primary Procedure)

Code
74713
Description
Magnetic Resonance (Eg Proton) Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed; Each Additional Gestation (List Separately In Addition To Code For Primary Procedure)
Source
2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 12 Original policy

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