| BCBS California | Reconstructive Services | 2025-06-01 |
| BCBS California | Sacral Nerve Neuromodulation/Stimulation | 2025-06-01 |
| BCBS California | Spinal Cord and Dorsal Root Ganglion Stimulation | 2025-06-01 |
| BCBS California | Subtalar Arthroereisis | 2025-06-01 |
| BCBS California | Surgical Treatment of Femoroacetabular Impingement | 2025-06-01 |
| BCBS California | Trigger Point and Tender Point Injections | 2025-06-01 |
| BCBS California | Vertebral Axial Decompression | 2025-06-01 |
| BCBS California | Vertical Expandable Prosthetic Titanium Rib | 2025-06-01 |
| Health Net Comm & Medi-Cal Plan | Bone-Anchored Hearing Aid | 2025-06-01 |
| Health Net Comm & Medi-Cal Plan | Hospice Services | 2025-06-01 |