J9155 prior authorization | Aetna
J9155, (LHRH) agents: Commercial plans — precertification required for prostate cancer only Medicare plans — precertification required for all diagnoses Firmagon (degarelix) — precertification required for Commercial members only, is on the Aetna prior authorization list. Not a coverage or referral decision.
- Code
- J9155
- Description
- (LHRH) agents: Commercial plans — precertification required for prostate cancer only Medicare plans — precertification required for all diagnoses Firmagon (degarelix) — precertification required for Commercial members only
- Source
- Participating provider precertification list for Aetna, Pg 28 Original policy