Premera Blue Cross of Washington prior authorization 0264U

Premera Blue Cross of Washington prior authorization for 0264U: Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping

Code: 0264U
Description: Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping
Source: Clinical Review by Code List PBCWA, Pg 55 Original policy

Premera Blue Cross of Washington prior authorization

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