| BCBS South Dakota Medical Policies | MRI-Guided High-Intensity Focused Ultrasound (MRgFUS) Ablation | 2023-01-01 |
| BCBS South Dakota Medical Policies | Optical Coherence Tomography of the Anterior Eye Segment | 2023-01-01 |
| BCBS South Dakota Medical Policies | Platelet Rich Plasma and Autologous Protein Solution for Orthopedic Applications | 2023-01-01 |
| BCBS South Dakota Medical Policies | Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | 2023-01-01 |
| HealthPartners | Gene therapy for inherited retinal dystrophy | 2023-01-01 |
| Humana Medicaid | Cochlear Implant - MEDICAID - LOUISIANA | 2023-01-01 |
| Humana Medicaid | Crisis Stabilization for Children and Adolescents - MEDICAID - LOUISIANA | 2023-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Anesthesia Provided in Conjunction with Non-Covered Services | 2022-12-31 |
| BCBS Highmark Penn Medicare Advantage | Autonomic Function Tests | 2022-12-31 |
| BCBS Highmark Penn Medicare Advantage | Frequency of Hemodialysis | 2022-12-31 |