Cigna prior authorization Q2055
Cigna prior authorization for Q2055: Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Code
- Q2055
- Description
- Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Source
- Master Precertification List For Health Care Providers, Pg 94 Original policy