| BCBS North Carolina | Maternal and Fetal Diagnostics | Providers | 2025-03-01 |
| BCBS North Carolina | Monoclonal Antibody Imaging for Prostate Cancer | Providers | 2025-03-01 |
| BCBS North Carolina | Noninvasive Respiratory Assist Devices | Providers | 2025-03-01 |
| BCBS North Carolina | Oncologic Applications of Photodynamic Therapy, Including Barrett's Esophagus | Providers | 2025-03-01 |
| BCBS North Carolina | Oscillatory Devices for the Treatment of Respiratory Conditions | Providers | 2025-03-01 |
| BCBS North Carolina | Ovarian and Internal Iliac Vein Embolization, Ablation and Sclerotherapy | Providers | 2025-03-01 |
| BCBS North Carolina | Phrenic Nerve Stimulation for Central Sleep Apnea | Providers | 2025-03-01 |
| BCBS North Carolina | Sleep Apnea: Diagnosis and Medical Management | Providers | 2025-03-01 |
| BCBS North Carolina | Surgery for Obstructive Sleep Apnea and Upper Airway Resistance Syndrome | Providers | 2025-03-01 |
| Sunshine Health Clinical Policy | Air Ambulance | 2025-03-01 |