74712 prior authorization | Blue Cross and Blue Shield of Montana

74712, Magnetic Resonance (Eg Proton) Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed; Single Or First Gestation, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 74712
Description: Magnetic Resonance (Eg Proton) Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed; Single Or First Gestation
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 83 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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