| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Prophylactic Mastectomy | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Mastectomy and Reconstructive Surgery | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Manipulation Under Anesthesia | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Fibrin Sealant | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Treatment of Hyperhidrosis | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Renal Denervation System | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Daratumumab (Darzalex) and Daratumumab and Hyaluronidase-fihj (Darzalex Faspro) | 2025-08-11 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Azacitidine (Vidaza) | 2025-08-11 |
| BCBS Highmark Penn Medicare Advantage | Daratumumab (Darzalex) and Daratumumab and Hyaluronidase-fihj (Darzalex Faspro) | 2025-08-11 |
| BCBS Highmark Penn Medicare Advantage | Azacitidine (Vidaza) | 2025-08-11 |