C8905 prior authorization | Anthem Blue Cross and Blue Shield Virginia

C8905, Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: C8905
Description: Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 63 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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