| Aetna | Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage) | 2025-10-14 |
| Aetna | Actigraphy and Accelerometry | 2025-10-14 |
| Aetna | Sialolithiasis (Salivary Stones) | 2025-10-14 |
| Aetna | Defecography | 2025-10-14 |
| UHC UMR Medical and Drug | Tysabri® (Natalizumab) - Commercial Medical Benefit Drug Policy | 2025-10-14 |
| UHC Surest Medical and Drug | Tysabri® (Natalizumab) - Commercial Medical Benefit Drug Policy | 2025-10-14 |
| Humana Medicare Advantage | Injections for Chronic Pain Conditions - Medicare Advantage | 2025-10-14 |
| Humana Medicaid | Orthotics - MEDICAID - OKLAHOMA | 2025-10-14 |
| Meridian Illinois Medicaid Clinical | Continuous Glucose Monitor | 2025-10-14 |
| BCBS Premera WA AK Clinical | Adjustable Cranial Orthoses for Positional Plagiocephaly | 2025-10-14 |