Blue Cross Blue Shield Oklahoma prior authorization 78496

Blue Cross Blue Shield Oklahoma prior authorization for 78496: Cardiac Blood Pool Imaging Gated Equilibrium Single Study At Rest With Right Ventricular Ejection Fraction By First Pass Technique (List Separately In Addition To Code For Primary Procedure)

Code: 78496
Description: Cardiac Blood Pool Imaging Gated Equilibrium Single Study At Rest With Right Ventricular Ejection Fraction By First Pass Technique (List Separately In Addition To Code For Primary Procedure)
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 31 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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