| BCBS Massachusetts | Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers | 2025-12-01 |
| BCBS Massachusetts | Quantitative Electroencephalography as a Diagnostic Aid for Attention-DeficitHyperactivity Disorder, Cognitive Impairment, or Autism Spectrum | 2025-12-01 |
| BCBS Massachusetts | Renal Denervation for Uncontrolled Hypertension | 2025-12-01 |
| BCBS Massachusetts | Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis | 2025-12-01 |
| BCBS Massachusetts | Tumor Treatment Field Therapy | 2025-12-01 |
| BCBS Massachusetts | Urinary Test for Renal Allograft Rejection | 2025-12-01 |
| BCBS South Dakota Medical Policies | Biofeedback as a Treatment of Anorectal Disorders | 2025-12-01 |
| BCBS South Dakota Medical Policies | Biofeedback as a Treatment of Chronic Pain | 2025-12-01 |
| BCBS South Dakota Medical Policies | Biofeedback as a Treatment of Headache | 2025-12-01 |
| BCBS South Dakota Medical Policies | Biofeedback as a Treatment of Urinary Incontinence | 2025-12-01 |