| BCBS Highmark Delaware | Percutaneous Tenotomy | 2025-10-13 |
| BCBS Highmark Delaware | Small Bowel, Small Bowel/Liver and Multivisceral Transplant | 2025-10-13 |
| BCBS Highmark Delaware | Ablation of Miscellaneous Solid Tumors | 2025-10-13 |
| BCBS Highmark Delaware | Eustachian Tube Balloon Dilation | 2025-10-13 |
| BCBS Highmark West Virginia | Mobile Cardiac Outpatient Telemetry (MCOT) | 2025-10-13 |
| BCBS Highmark West Virginia | Seat Lift Mechanisms | 2025-10-13 |
| BCBS Highmark West Virginia | Osteotomy, Metatarsal | 2025-10-13 |
| BCBS Premera WA AK Clinical | Radioembolization for Primary and Metastatic Tumors of | 2025-10-13 |
| BCBS Premera WA AK Clinical | Kidney Transplant | 2025-10-13 |
| BCBS Premera WA AK Clinical | Prostatic Urethral Lift | 2025-10-13 |