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HCPCS/CPT C9308, Injection, carboplatin (avyxa), 1 mg | Prior Auth Required

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`C9308`, Injection, carboplatin (avyxa), 1 mg

HCPCS/CPT

Prior Authorization

Prior Auth Required

Code explicitly requires prior authorization (high confidence)

4 Active Policies

EVICORE-HPLAN-CIGNA-91DEEEDD92F8, Cigna MedOnc Master Drug List

EVICORE-HPLAN-CIGNA_MEDICARE-6408D93491D1, Q1 - 2026 1199 SEIU Benefit Funds MedOnc Master Drug List

EVICORE-HPLAN-CIGNA_MEDICARE-A5899B49CF60, Q2 - 2026 1199 SEIU Benefit Funds MedOnc Master Drug List

EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-1D3B8C21C093, Q2 - 2026 Health Partners Plans MedOnc Master Drug List

Related Codes

J0642(4 policies)C9399(4 policies)J0641(4 policies)J0208(4 policies)J0209(4 policies)

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