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Advanced Imaging

This information is to assist provider office(s) and facilities in ordering and/or reviewing prior authorizations for MRI, MRA, CT, PET scans and Nuclear Cardiology.  A prior authorization approval is a determination of medical necessity only and not a guarantee of reimbursement.  We determine coverage and reimbursement based on the benefits, exclusions and limitations of the specific policy. For information regarding member benefits please access our Web site at or contact our Customer Services Department toll free at 1 866-482-2250.



Imaging Quick Reference Guide


OptiNet Information (Log-in required to access this site)


Groups NOT Participating 


Commercial and Medicare Advantage 2012 CPT Imaging Matrix 


Clinical Guidlines