| BCBS New Mexico Medical Policies | Risk-Reducing (Prophylactic) Mastectomy | 2025-02-01 |
| BCBS Montana Medical Policies | Anesthetics for the Treatment of Psychiatric Disorders and | 2025-02-01 |
| BCBS Montana Medical Policies | Cryosurgical Ablation of the Prostate | 2025-02-01 |
| BCBS Montana Medical Policies | Deep Brain Stimulation (DBS) | 2025-02-01 |
| BCBS Montana Medical Policies | Gastrointestinal (GI) Motility Measurement | 2025-02-01 |
| BCBS Montana Medical Policies | Glucose Monitoring and Insulin Delivery Devices for Managing | 2025-02-01 |
| BCBS Montana Medical Policies | High-Intensity Focused Ultrasound (HIFU) With or Without | 2025-02-01 |
| BCBS Montana Medical Policies | Immunoglobulin (Ig) Therapy (Including Intravenous [IVIG] | 2025-02-01 |
| BCBS Montana Medical Policies | Implantable Infusion Pump for Pain and Spasticity | 2025-02-01 |
| BCBS Montana Medical Policies | Lipid Apheresis | 2025-02-01 |