70554 prior authorization | Blue Cross and Blue Shield of Montana

70554, Magnetic Resonance Imaging Brain Functional Mri; Including Test Selection And Administration Of Repetitive Body Part Movement And/Or Visual Stimulation Not Requiring Physician Or Psychologist Administration, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 70554
Description: Magnetic Resonance Imaging Brain Functional Mri; Including Test Selection And Administration Of Repetitive Body Part Movement And/Or Visual Stimulation Not Requiring Physician Or Psychologist Administration
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 74 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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