81170 prior authorization | Blue Cross and Blue Shield of Montana

81170, Abl1 (Abl Proto-Oncogene 1 Non-Receptor Tyrosine Kinase) (Eg Acquired Imatinib Tyrosine Kinase Inhibitor Resistance) Gene Analysis Variants In The Kinase Domain, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81170
Description: Abl1 (Abl Proto-Oncogene 1 Non-Receptor Tyrosine Kinase) (Eg Acquired Imatinib Tyrosine Kinase Inhibitor Resistance) Gene Analysis Variants In The Kinase Domain
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 102 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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