0457U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0457U, Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC-MS/MS, plasma or serum, quantitative, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0457U
Description: Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC-MS/MS, plasma or serum, quantitative
Source: Standard Local Prior Authorization Code List, Pg 110 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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