| BCBS Federal Medical & Drug | 8.01.10 Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions | 2025-09-01 |
| BCBS Federal Medical & Drug | 8.01.11 Transcatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver Malignancies | 2025-09-01 |
| BCBS Federal Medical & Drug | 8.01.43 Radioembolization for Primary and Metastatic Tumors of the Liver | 2025-09-01 |
| BCBS Louisiana Avalon | G2008: Prostate Specific Antigen (PSA) Testing | 2025-09-01 |
| BCBS Louisiana Avalon | G2022: Biomarker Testing for Autoimmune Rheumatic Disease | 2025-09-01 |
| BCBS Louisiana Avalon | G2042: Pediatric Preventive Screening | 2025-09-01 |
| BCBS Louisiana Avalon | G2044: Helicobacter pylori Testing | 2025-09-01 |
| BCBS Louisiana Avalon | G2164: Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing | 2025-09-01 |
| BCBS Louisiana Avalon | M2172: Onychomycosis Testing | 2025-09-01 |
| Ambetter Health Louisiana Clinical | IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures | 2025-09-01 |