0170U prior authorization | Blue Cross and Blue Shield of Montana

0170U, Neurology (Autism Spectrum Disorder [Asd]) Rna Next-Generation Sequencing Saliva Algorithmic Analysis And Results Reported As Predictive Probability Of Asd Diagnosis, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0170U
Description: Neurology (Autism Spectrum Disorder [Asd]) Rna Next-Generation Sequencing Saliva Algorithmic Analysis And Results Reported As Predictive Probability Of Asd Diagnosis
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 183 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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