73719 prior authorization | Premera Blue Cross of Washington

73719, Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 73719
Description: Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 405 Original policy

Premera Blue Cross of Washington prior authorization

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