| BCBS South Dakota Medical Policies | Occipital Nerve Stimulation | 2023-06-01 |
| BCBS South Dakota Medical Policies | Prostate-Specific Antigen Screening for Prostate Cancer | 2023-06-01 |
| BCBS South Dakota Medical Policies | Sacral Nerve Neuromodulation/Stimulation | 2023-06-01 |
| BCBS South Dakota Medical Policies | Subtalar Arthroereisis | 2023-06-01 |
| BCBS South Dakota Medical Policies | Vertebral Augmentation | 2023-06-01 |
| BCBS South Dakota Medical Policies | Vertebral Axial Decompression | 2023-06-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Moderate Conscious Sedation (CC.PP.015) | 2023-06-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Moderate Conscious Sedation (CC.PP.015) | 2023-06-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Moderate Conscious Sedation (CC.PP.015) | 2023-06-01 |
| HealthPartners | Fabry disease enzyme replacement therapy: | 2023-05-25 |