74174 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

74174, Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 74174
Description: Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections
Source: New Hampshire Precertification List, Pg 147 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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