| Medical Mutual | Enhanced Oncology Value: Yervoy® (ipilimumab) (Intravenous) (EOV) | 2026-08-04 |
| HealthPartners | Durable medical equipment (DME), orthoses, | 2026-08-04 |
| Cigna EviCore | CMM-200: Epidural Steroid Injections (ESI) | 2026-08-04 |
| Cigna EviCore | CMM-201: Facet Joint Injections/Medial Branch Blocks | 2026-08-04 |
| Cigna EviCore | CMM-203: Sacroiliac Joint Procedures | 2026-08-04 |
| Cigna EviCore | CMM-207: Epidural Adhesiolysis | 2026-08-04 |
| Cigna EviCore | CMM-208: Ablations/Denervations of Facet Joints and Peripheral Nerves | 2026-08-04 |
| Cigna EviCore | CMM-209: Regional Sympathetic Blocks | 2026-08-04 |
| Cigna EviCore | CMM-210: Implantable Intrathecal Drug Delivery Systems | 2026-08-04 |
| Cigna EviCore | CMM-211: Spinal Cord and Dorsal Root Ganglion Stimulation | 2026-08-04 |