81277* prior authorization | Cigna

81277*, Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of- heterozygosity variants for chromosomal abnormalities, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: 81277*
Description: Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of- heterozygosity variants for chromosomal abnormalities
Source: Master Precertification List For Health Care Providers, Pg 61 Original policy

Cigna prior authorization

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