| BCBS Louisiana Avalon | G2008: Prostate Specific Antigen (PSA) Testing | 2025-09-01 |
| BCBS Louisiana Avalon | G2022: Biomarker Testing for Autoimmune Rheumatic Disease | 2025-09-01 |
| BCBS Louisiana Avalon | G2042: Pediatric Preventive Screening | 2025-09-01 |
| BCBS Louisiana Avalon | G2044: Helicobacter pylori Testing | 2025-09-01 |
| BCBS Louisiana Avalon | G2164: Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing | 2025-09-01 |
| BCBS Louisiana Avalon | M2172: Onychomycosis Testing | 2025-09-01 |
| Ambetter Health Louisiana Clinical | IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures | 2025-09-01 |
| Ambetter Health Indiana Clinical | Thyroid Hormones and Insulin Testing in Pediatrics | 2025-09-01 |
| Wellcare North Carolina Medicaid Clinical | Wireless Motility Capsule | 2025-09-01 |
| Wellcare North Carolina Medicaid Clinical | Holter Monitors | 2025-09-01 |