| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Aqueous Shunts and Stents for Glaucoma | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Hematopoietic Cell Transplantation: Non-Cancer Diseases | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Apheresis Therapy | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Ophthalmic Angiography (Fluorescein and Indocyanine Green) | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Somatosensory Testing | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Infliximab and Infliximab Biosimilars | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Continuous Peripheral Nerve Blocks | 2025-10-01 |
| BCBS Highmark Delaware | Chelation Therapy for Off-Label Uses | 2025-10-01 |
| BCBS Highmark NY and West NY | Pertuzumab, trastuzumab, and hyaluronidase-zzxf (Phesgo) | 2025-10-01 |