Premera Blue Cross of Washington prior authorization 81521

Premera Blue Cross of Washington prior authorization for 81521: Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin- embedded tissue, algorithm reported as index related to risk of distant metastasis

Code: 81521
Description: Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin- embedded tissue, algorithm reported as index related to risk of distant metastasis
Source: Clinical Review by Code List PBCWA, Pg 495 Original policy

Premera Blue Cross of Washington prior authorization

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