61715 prior authorization | Regence BlueShield of Idaho

61715, Magnetic Resonance (MR) Guided Focused Ultrasound (MRgFUS), and High Intensity Focused Ultrasound (HIFU) Ablation, and Transurethral Ultrasound Ablation (TULSA), is on the Regence BlueShield of Idaho commercial prior authorization list. Not a coverage or referral decision.

Code: 61715
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 BlueShield of Idaho prior authorization

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