0016M prior authorization | Anthem Blue Cross and Blue Shield Nevada

0016M, Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (lumina, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 0016M
Description: Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (lumina
Source: Nevada Prior Authorization List, Pg 109 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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