| BCBS South Dakota Medical Policies | Manipulation under Anesthesia | 2023-01-01 |
| BCBS South Dakota Medical Policies | Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis using Ultrasound | 2023-01-01 |
| BCBS South Dakota Medical Policies | Mechanical Stretching Devices | 2023-01-01 |
| BCBS South Dakota Medical Policies | MRI-Guided High-Intensity Focused Ultrasound (MRgFUS) Ablation | 2023-01-01 |
| BCBS South Dakota Medical Policies | Optical Coherence Tomography of the Anterior Eye Segment | 2023-01-01 |
| BCBS South Dakota Medical Policies | Platelet Rich Plasma and Autologous Protein Solution for Orthopedic Applications | 2023-01-01 |
| BCBS South Dakota Medical Policies | Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | 2023-01-01 |
| HealthPartners | Gene therapy for inherited retinal dystrophy | 2023-01-01 |
| BCBS Highmark Penn Medicare Advantage | Autonomic Function Tests | 2023-01-01 |
| BCBS Highmark Penn Medicare Advantage | Frequency of Hemodialysis | 2023-01-01 |