0050U prior authorization | Blue Cross and Blue Shield of Montana

0050U, Targeted Genomic Sequence Analysis Panel Acute Myelogenous Leukemia Dna Analysis 194 Genes Interrogation For Sequence Variants Copy Number Variants Or Rearrangements, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0050U
Description: Targeted Genomic Sequence Analysis Panel Acute Myelogenous Leukemia Dna Analysis 194 Genes Interrogation For Sequence Variants Copy Number Variants Or Rearrangements
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 170 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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