MHP Prior Authorization User Guide - Maine
May 09, 2019 · The content of this document herein is subject to change without notice. HIPAA Notice. ... CT and CPT Procedure Codes 27. List of Figures and Tables. Figure 4 1: Sign In Hyperlink 3 ... Abdomen w/contrast Y Computerized Tomographys (CT) 74170 Abdomen w/wo contrast Y Computerized Tomographys (CT) 74174 Abdomen & Pelvis, Angiogram w/wo contrast Y ... ................
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