Premera Blue Cross of Washington prior authorization 0069U

Premera Blue Cross of Washington prior authorization for 0069U: Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin- fixed paraffin-embedded tissue, algorithm reported as an expression score These criteria do not imply or guarantee approval.

Code: 0069U
Description: Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin- fixed paraffin-embedded tissue, algorithm reported as an expression score These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 22 Original policy

Premera Blue Cross of Washington prior authorization

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