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J3403 prior authorization | Anthem Blue Cross and Blue Shield Nevada

J3403: Revakinagene taroretcel-lwey, per implant. Imported Anthem Blue Cross and Blue Shield Nevada source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

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Code
J3403
Description
Revakinagene taroretcel-lwey, per implant
Source
Nevada Prior Authorization List, Pg 151 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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