| BCBS Louisiana | Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty) | 2025-11-01 |
| BCBS Louisiana | Allogeneic Pancreas Transplant | 2025-11-01 |
| BCBS Louisiana | Photodynamic Therapy for Choroidal Neovascularization | 2025-11-01 |
| BCBS Louisiana | Hip Resurfacing | 2025-11-01 |
| BCBS Louisiana | Risk-Reducing Mastectomy | 2025-11-01 |
| BCBS Louisiana | Sensory Integration Therapy and Auditory Integration Therapy | 2025-11-01 |
| BCBS Louisiana | etanercept (Enbrel®) | 2025-11-01 |
| BCBS Louisiana | Teriparatide Products | 2025-11-01 |
| BCBS Louisiana | sipuleucel-T (Provenge®) | 2025-11-01 |
| BCBS Louisiana | C1 Esterase Inhibitor (Berinert®) | 2025-11-01 |