0055U prior authorization | Blue Cross and Blue Shield of Montana

0055U, Cardiology (Heart Transplant) Cell-Free Dna Pcr Assay Of 96 Dna Target Sequences (94 Single Nucleotide Polymorphism Targets And Two Control Targets) Plasma, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0055U
Description: Cardiology (Heart Transplant) Cell-Free Dna Pcr Assay Of 96 Dna Target Sequences (94 Single Nucleotide Polymorphism Targets And Two Control Targets) Plasma
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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