| Ambetter Health Arizona Clinical | Short Inpatient Hospital Stay | 2025-02-01 |
| Wellcare Arizona PPO Medicare Clinical | CPG Grid Adopted Clinical Practice and Preventive Health Guidelines | 2025-02-01 |
| Wellcare Wellcare Medicare Clinical | CPG Grid Adopted Clinical Practice and Preventive Health Guidelines | 2025-02-01 |
| Wellcare NEW-YORK Medicare Clinical | CPG Grid Adopted Clinical Practice and Preventive Health Guidelines | 2025-02-01 |
| Wellcare Wellcare, Medicare Clinical | CPG Grid Adopted Clinical Practice and Preventive Health Guidelines | 2025-02-01 |
| BCBS California | Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Uncontrolled Hypertension | 2025-02-01 |
| BCBS California | Targeted Phototherapy and Psoralen with Ultraviolet A for Vitiligo | 2025-02-01 |
| Health Net Comm & Medi-Cal Plan | Outpatient Cardiac Rehabilitation | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Responsive Neurostimulation for the Treatment of Refractory Partial Epilepsy | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Corpectomy, Vertebral | 2025-02-01 |