| Anthem Blue Cross | Laser Trabeculoplasty and Laser Peripheral Iridotomy | 2025-10-01 |
| Anthem Blue Cross | Portable Normothermic Organ Perfusion Systems | 2025-10-01 |
| Anthem Blue Cross | Back-Up Ventilators in the Home Setting | 2025-10-01 |
| Anthem Blue Cross | Powered Wheeled Mobility Devices | 2025-10-01 |
| Anthem Blue Cross | Tonsillectomy with or without Adenoidectomy for Adults | 2025-10-01 |
| Anthem Blue Cross | Balloon Dilation of the Eustachian Tubes | 2025-10-01 |
| Anthem Blue Cross | Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in the Home Setting | 2025-10-01 |
| Anthem Blue Cross | Vacuum Assisted Wound Therapy in the Outpatient Setting | 2025-10-01 |
| Anthem Blue Cross | Cardiac Electrophysiological Studies (EPS) and Catheter Ablation | 2025-10-01 |
| Anthem Blue Cross | Lower Extremity Pressure Gradient Compression Stockings | 2025-10-01 |