55880 prior authorization | Regence BlueCross BlueShield of Utah

55880, Magnetic Resonance (MR) Guided Focused Ultrasound (MRgFUS), and High Intensity Focused Ultrasound (HIFU) Ablation, and Transurethral Ultrasound Ablation (TULSA), is on the Regence BlueCross BlueShield of Utah commercial prior authorization list. Not a coverage or referral decision.

Code: 55880
Description: Magnetic Resonance (MR) Guided Focused Ultrasound (MRgFUS), and High Intensity Focused Ultrasound (HIFU) Ablation, and Transurethral Ultrasound Ablation (TULSA)
Source: Commercial Pre-authorization List, Pg 1 Original policy

Regence BlueCross BlueShield of Utah prior authorization

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