| Ambetter Health Texas Superior Marketplace Clinical | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Facet Joint Interventions | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Fecal Incontinence Treatments | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Fetal Surgery in Utero for Prenatally Diagnosed Malformations | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Neuromuscular Electrical Stimulation (NMES) | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Pediatric Liver Transplant | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Total Artificial Heart | 2025-05-01 |
| Ambetter Health Texas Superior Marketplace Clinical | AbobotulinumtoxinA | 2025-05-01 |