Premera Blue Cross of Washington prior authorization 81269

Premera Blue Cross of Washington prior authorization for 81269: HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants These criteria do not imply or guarantee approval.

Code: 81269
Description: HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 458 Original policy

Premera Blue Cross of Washington prior authorization

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