Premera Blue Cross of Washington prior authorization 81542

Premera Blue Cross of Washington prior authorization for 81542: Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as metastasis risk score

Code: 81542
Description: Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as metastasis risk score
Source: Clinical Review by Code List PBCWA, Pg 498 Original policy

Premera Blue Cross of Washington prior authorization

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