73220 prior authorization | Blue Cross and Blue Shield of Montana

73220, Magnetic Resonance (Eg Proton) Imaging Upper Extremity Other Than Joint; Without Contrast Material(S) Followed By Contrast Material(S) And Further Sequences, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 73220
Description: Magnetic Resonance (Eg Proton) Imaging Upper Extremity Other Than Joint; Without Contrast Material(S) Followed By Contrast Material(S) And Further Sequences
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 80 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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