| Cigna EviCore | CMM-611: Sacroiliac Joint Fusion and Stabilization | 2026-08-04 |
| Cigna EviCore | CMM-612: Grafts | 2026-08-04 |
| Cigna EviCore | CMM-613: Thoracic Decompression and Discectomy | 2026-08-04 |
| Cigna EviCore | CMM-614: Thoracic and Thoracolumbar Fusion (Arthrodesis) | 2026-08-04 |
| Cigna EviCore | CMM-615: Electrical and Low Frequency US Bone Growth Stimulation Spine | 2026-08-04 |
| Cigna EviCore | CMM-616: Vertebral Body Tethering for Adolescent Idiopathic Scoliosis | 2026-08-04 |
| Medical Mutual | Enhanced Oncology Value: Perjeta® (pertuzumab) (Intravenous) (EOV) | 2026-08-04 |
| Aetna | Varicose Veins | 2026-08-03 |
| Aetna | Therapeutic Chairs | 2026-08-03 |
| Aetna | Vestibular Autorotation Test (VAT) | 2026-08-03 |