| BCBS South Dakota Medical Policies | Four - Dimensional (4-D) and Five - Dimensional (5-D) Fetal Ultrasound(s) | 2024-01-01 |
| BCBS South Dakota Medical Policies | Fractional Carbon Dioxide (CO2) Laser Ablation Treatment of Hypertrophic Scars or Keloids for Functional Improvement | 2024-01-01 |
| BCBS South Dakota Medical Policies | Plugs for Anal Fistula Repair | 2024-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Vertebral Body Tethering | 2024-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Entranacogene dezaparvovec (Hemgenix) | 2024-01-01 |
| BCBS Highmark Penn Medicare Advantage | Parenteral Nutrition | 2024-01-01 |
| BCBS Highmark Penn Medicare Advantage | Enteral Nutrition | 2024-01-01 |
| BCBS Highmark Penn Medicare Advantage | Tracheostomy Care Supplies | 2024-01-01 |
| BCBS Highmark Penn Medicare Advantage | Negative Pressure Wound Therapy Pumps | 2024-01-01 |
| BCBS Highmark Penn Medicare Advantage | Positive Airway Pressure Devices for the Treatment of Obstructive Sleep Apnea | 2024-01-01 |