G6005 prior authorization | Blue Cross and Blue Shield of Montana

G6005, Radiation Treatment Delivery Single Treatment Area Single Port Or Parallel Opposed Ports Simple Blocks Or No Blocks: 11-19Mev, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: G6005
Description: Radiation Treatment Delivery Single Treatment Area Single Port Or Parallel Opposed Ports Simple Blocks Or No Blocks: 11-19Mev
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 267 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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