Blue Shield of California Promise Health Plan prior authorization 0953T

Blue Shield of California Promise Health Plan prior authorization for 0953T: Magnetic resonance image guided low intensity focused ultrasound (MRgFUS), stereotactic blood-brain barrier disruption using microbubble resonators to increase the concentration of blood-based biomarkers of target, intracranial, including stereotactic navigation and frame placement, when performed

Code: 0953T
Description: Magnetic resonance image guided low intensity focused ultrasound (MRgFUS), stereotactic blood-brain barrier disruption using microbubble resonators to increase the concentration of blood-based biomarkers of target, intracranial, including stereotactic navigation and frame placement, when performed
Source: Medi-Cal Prior Authorization List, Pg 19 Original policy

Blue Shield of California Promise Health Plan prior authorization

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