0394U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0394U, Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0394U
Description: Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M
Source: New Hampshire Precertification List, Pg 50 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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