| BCBS North Carolina | Meniscal Allografts and Other Meniscal Implants | Providers | 2025-06-01 |
| BCBS North Carolina | Myoelectric Prosthetic Components for the Upper Limb | Providers | 2025-06-01 |
| BCBS North Carolina | Optical Coherence Tomography (OCT) Anterior Segment of the Eye | Providers | 2025-06-01 |
| BCBS North Carolina | Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint Arthroplasty | Providers | 2025-06-01 |
| BCBS North Carolina | Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention | Providers | 2025-06-01 |
| BCBS North Carolina | Psychiatric Intensive Outpatient Programs | Providers | 2025-06-01 |
| BCBS North Carolina | Psychiatric Partial Hospitalization Programs | Providers | 2025-06-01 |
| BCBS North Carolina | Refractive Surgery | Providers | 2025-06-01 |
| BCBS North Carolina | Residential Treatment | Providers | 2025-06-01 |
| BCBS North Carolina | Retinal Prosthesis | Providers | 2025-06-01 |