| BCBS North Carolina | Skilled Nursing Facility Care | Providers | 2025-02-01 |
| BCBS North Carolina | Skilled Nursing Services | Providers | 2025-02-01 |
| BCBS North Carolina | Subtalar Arthroereisis | Providers | 2025-02-01 |
| BCBS North Carolina | Surgical Treatment of Sinus Disease | Providers | 2025-02-01 |
| BCBS North Carolina | Synthetic Cartilage Implants for Joint Pain | Providers | 2025-02-01 |
| BCBS North Carolina | Ultrasound Accelerated Fracture Healing Device | Providers | 2025-02-01 |
| BCBS North Carolina | Vestibular Function Testing | Providers | 2025-02-01 |
| BCBS Oklahoma Medical Policies | Anesthetics for the Treatment of Psychiatric Disorders and | 2025-02-01 |
| BCBS Oklahoma Medical Policies | Cryosurgical Ablation of the Prostate | 2025-02-01 |
| BCBS Oklahoma Medical Policies | Deep Brain Stimulation (DBS) | 2025-02-01 |