| BCBS Minnesota | Chelation Therapy | 2025-06-30 |
| BCBS Minnesota | Photodynamic Therapy for Ocular Indications | 2025-06-30 |
| BCBS Minnesota | Tumor Treating Fields Therapy | 2025-06-30 |
| BCBS Minnesota | Wireless Gastric Motility Monitoring | 2025-06-30 |
| BCBS Minnesota | Hematopoietic Stem Cell Transplantation for Primary Amyloidosis | 2025-06-30 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Enteral Nutrition | 2025-06-30 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Knee Orthosis | 2025-06-30 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Laboratory Thyroid Testing in Adults | 2025-06-30 |
| BCBS Highmark NY and West NY | Enteral Nutrition | 2025-06-30 |
| BCBS Highmark NY and West NY | Knee Orthosis | 2025-06-30 |