Premera Blue Cross of Washington prior authorization 73220

Premera Blue Cross of Washington prior authorization for 73220: Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences These criteria do not imply or guarantee approval.

Code: 73220
Description: Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 403 Original policy

Premera Blue Cross of Washington prior authorization

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