S3870 prior authorization | Regence BlueShield of Washington

S3870, Chromosomal Microarray Analysis (CMA) or Copy Number Analysis for the Genetic Evaluation of Patients with Developmental Delay Intellectual Disability, Autism Spectrum Disorder or Congenital Anomalies, is on the Regence BlueShield of Washington commercial prior authorization list. Not a coverage or referral decision.

Code: S3870
Description: Chromosomal Microarray Analysis (CMA) or Copy Number Analysis for the Genetic Evaluation of Patients with Developmental Delay Intellectual Disability, Autism Spectrum Disorder or Congenital Anomalies
Source: Commercial Pre-authorization List, Pg 1 Original policy

Regence BlueShield of Washington prior authorization

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