Cigna prior authorization 64490*

Cigna prior authorization for 64490*: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level

Code: 64490*
Description: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level
Source: Master Precertification List For Health Care Providers, Pg 52 Original policy

Cigna prior authorization

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