Blue Cross Blue Shield Oklahoma prior authorization 81442

Blue Cross Blue Shield Oklahoma prior authorization for 81442: Noonan Spectrum Disorders (Eg Noonan Syndrome Cardio-Facio- Cutaneous Syndrome Costello Syndrome Leopard Syndrome Noonan-Like Syndrome) Genomic Sequence Analysis Panel Must Include Sequencing Of At Least 12 Genes Including Braf Cbl Hras Kras Map2K1 Map2K2 Nras Ptpn11 Raf1 Rit1 Shoc2 And Sos1

Code: 81442
Description: Noonan Spectrum Disorders (Eg Noonan Syndrome Cardio-Facio- Cutaneous Syndrome Costello Syndrome Leopard Syndrome Noonan-Like Syndrome) Genomic Sequence Analysis Panel Must Include Sequencing Of At Least 12 Genes Including Braf Cbl Hras Kras Map2K1 Map2K2 Nras Ptpn11 Raf1 Rit1 Shoc2 And Sos1
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 87 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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