| Medical Mutual | Yescarta® (axicabtagene ciloleucel) (Intravenous) (EOV) | 2025-11-01 |
| Paramount Healthcare | Prostate Cancer Screening | 2025-11-01 |
| Paramount Healthcare | Tests for the Evaluation of Preterm Labor and
Premature Rupture of Membranes | 2025-11-01 |
| Paramount Healthcare | Neurostimulation, Spinal Cord/Dorsal
Column and Dorsal Root Ganglion | 2025-11-01 |
| Paramount Healthcare | Acne Surgery, Dermabrasion and
Chemical Peels | 2025-11-01 |
| Paramount Healthcare | Radiofrequency Methods of Denervation for
Chronic Spinal Pain | 2025-11-01 |
| Paramount Healthcare | Clinical Trials | 2025-11-01 |
| Paramount Healthcare | Air Ambulance Transportation | 2025-11-01 |
| Paramount Healthcare | Religious Nonmedical Health Care Institutions
(RNHCIs) | 2025-11-01 |
| Paramount Healthcare | Retinal Telescreening for Diabetic Retinopathy | 2025-11-01 |