81314 prior authorization | Blue Cross and Blue Shield of Montana

81314, Pdgfra (Platelet-Derived Growth Factor Receptor Alpha Polypeptide) (Eg Gastrointestinal Stromal Tumor [Gist]) Gene Analysis Targeted Sequence Analysis (Eg Exons 12 18), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81314
Description: Pdgfra (Platelet-Derived Growth Factor Receptor Alpha Polypeptide) (Eg Gastrointestinal Stromal Tumor [Gist]) Gene Analysis Targeted Sequence Analysis (Eg Exons 12 18)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 122 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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