| Aetna | Extended-Release Buprenorphine Injectables | 2025-12-30 |
| Aetna | Ambulatory Assist Devices: Walkers, Canes, and Crutches | 2025-12-29 |
| Aetna | Electrical Stimulation for Chronic Ulcers | 2025-12-29 |
| Aetna | Intra-oral Appliances for Headaches and Trigeminal Neuralgia | 2025-12-29 |
| Aetna | Ocular Photoscreening | 2025-12-29 |
| Aetna | Evaluation of Sinusitis | 2025-12-29 |
| Aetna | Quantitative Pupillometry/Pupillography | 2025-12-29 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Maternity Ultrasound | 2025-12-29 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Parenteral Nutrition | 2025-12-29 |
| BCBS Highmark NY and West NY | Psychiatric Residential Facilities | 2025-12-29 |