| Sentara Health Plans | Vitrectomy Face-Down Positioning System, DME 33 - Commercial | 2025-10-01 |
| Sentara Health Plans | Vitrectomy Face-Down Positioning System, DME 33 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Wearable External Cardioverter Defibrillators, DME 24 - Commercial | 2025-10-01 |
| Sentara Health Plans | Wearable External Cardioverter Defibrillators, DME 24 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Applied Behavioral Analysis, BH 37 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Multisystemic Therapy, BH 35 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Level of Care Guidance for Observation (OBS) - Commercial | 2025-10-01 |
| Sentara Health Plans | Level of Care Guidance for Observation (OBS) - Medicaid | 2025-10-01 |
| Sentara Health Plans | Muscle Pain Detector, Medical 247 - Commercial | 2025-10-01 |
| Sentara Health Plans | Muscle Pain Detector, Medical 247 - Medicaid | 2025-10-01 |