| Ambetter Health Texas Superior Marketplace Clinical | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | 2024-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Allergy Testing and Therapy | 2024-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Outpatient Oxygen Use | 2024-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Allergy Testing and Therapy | 2024-11-01 |
| BCBS Iowa Medical Policies | Esophageal pH Monitoring | 2024-11-01 |
| BCBS Iowa Medical Policies | High Intensity Focused Ultrasound (HIFU) | 2024-11-01 |
| BCBS Iowa Medical Policies | Nutritional Counseling | 2024-11-01 |
| BCBS Iowa Medical Policies | Screening for Vertebral Fracture with Densitometry or Biomechanical Computed Tomography | 2024-11-01 |
| BCBS Iowa Medical Policies | Whole Body Dual X-Ray Absorptiometry (DXA) and Bioelectrical Impedance Analysis (BIA) to Determine Body Composition | 2024-11-01 |
| BCBS Massachusetts | Cryosurgical Ablation of Primary or Metastatic Liver Tumors | 2024-11-01 |