Q2043 prior authorization | Anthem Blue Cross Blue Shield of California

Q2043, Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: Q2043
Description: Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge)
Source: California PPO Prior Authorization List, Pg 170 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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