| BCBS Minnesota | Blepharoplasty and Brow Ptosis Repair | 2025-08-04 |
| BCBS Minnesota | Gynecomastia Surgery | 2025-08-04 |
| BCBS Minnesota | Bunionectomy | 2025-08-04 |
| BCBS Minnesota | Osteochondral Allografts and Autografts in the Treatment of Focal Articular Cartilage Lesions | 2025-08-04 |
| BCBS Minnesota | Penile Prosthesis Implantation | 2025-08-04 |
| BCBS Minnesota | Spinal Cord and Dorsal Root Ganglion Stimulation | 2025-08-04 |
| BCBS Minnesota | Knee Arthroplasty (Knee Replacement) | 2025-08-04 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Autism Spectrum Disorders | 2025-08-04 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Cranial Electrotherapy Stimulation and Auricular Electrostimulation | 2025-08-04 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | IL-1 and IL-1b Blockers | 2025-08-04 |