0457U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0457U, Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC- MS/MS, plasma or serum, quantitative, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0457U
Description: Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC- MS/MS, plasma or serum, quantitative
Source: New Hampshire Precertification List, Pg 55 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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