| BCBS Iowa Medical Policies | Irreversible Electroportation of Tumors Located in the Liver Pancreas Kidney and Liver | 2025-01-01 |
| BCBS Iowa Medical Policies | Non-invasive Heart Failure and Arrhythmia Management and Monitoring System | 2025-01-01 |
| BCBS Iowa Medical Policies | Orthognathic Surgery* | 2025-01-01 |
| BCBS Iowa Medical Policies | Pulsed Radiofrequency Ablation | 2025-01-01 |
| BCBS Iowa Medical Policies | Radiofrequency Ablation and Alternative Ablative Methods for Chronic Facet Joint Mediated Neck, Back and Sacroiliac Joint Pain* | 2025-01-01 |
| BCBS Massachusetts | Blepharoplasty Blepharoptosis repair and Brow ptosis repair | 2025-01-01 |
| BCBS Massachusetts | Carelon Genetic Testing Management Program prn | 2025-01-01 |
| BCBS Massachusetts | Chromoendoscopy as an Adjunct to Colonoscopy | 2025-01-01 |
| BCBS Massachusetts | Dry Hydrotherapy for chronic pain conditions | 2025-01-01 |
| BCBS South Dakota Medical Policies | Baroreflex Stimulation Devices Components and Ancillary Services | 2025-01-01 |