| Ambetter Health Iowa Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Iowa Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Ambetter Health Alabama Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Alabama Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Ambetter Health Georgia Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Georgia Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Ambetter Health Illinois Clinical | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Ambetter Health Illinois Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Illinois Clinical | Facet Joint Interventions | 2025-05-01 |
| Ambetter Health Illinois Clinical | Fecal Incontinence Treatments | 2025-05-01 |