| BCBS South Dakota Medical Policies | Pancreas Transplants* (Including Simultaneous Pancreas-Kidney, Pancreas alone, and Pancreas after Kidney) | 2024-10-01 |
| BCBS South Dakota Medical Policies | Prostatic Urethral Lift | 2024-10-01 |
| BCBS South Dakota Medical Policies | Small Bowel Transplant* | 2024-10-01 |
| Ambetter Health Arizona Clinical | Concert Genetic Testing: Pharmacogenetics (Version B) | 2024-10-01 |
| Wellcare Wellcare, Medicare Clinical | Stereotactic Radiation Therapy: Stereotactic | 2024-10-01 |
| Health Net Comm & Medi-Cal Plan | Genetic Testing for Pharmacogenetics | 2024-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Powered Exoskeletal Robotic Systems | 2024-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Autonomic Nervous System Function Testing | 2024-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Bone Mineral Density Studies | 2024-10-01 |
| BCBS Highmark Penn Medicare Advantage | Electroretinography | 2024-10-01 |