S8030 prior authorization | Anthem Blue Cross Blue Shield of Colorado

S8030: Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy. Imported Anthem Blue Cross Blue Shield of Colorado source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

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Code: S8030
Description: Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy
Source: Colorado Prior Authorization List, Pg 177 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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