S3870 prior authorization | Anthem Blue Cross and Blue Shield Nevada

S3870: Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability. 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: S3870
Description: Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability
Source: Nevada Prior Authorization List, Pg 170 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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