81230 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81230, CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81230
Description: CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22)
Source: New Hampshire Precertification List, Pg 160 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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