73219 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

73219, Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 73219
Description: Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)
Source: New Hampshire Precertification List, Pg 146 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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