Premera Blue Cross of Washington prior authorization 74178

Premera Blue Cross of Washington prior authorization for 74178: Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions

Code: 74178
Description: Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions
Source: Clinical Review by Code List PBCWA, Pg 408 Original policy

Premera Blue Cross of Washington prior authorization

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