| Sentara Health Plans | Urinary Incontinence Treatments, Medical 130 - Commercial | 2026-01-01 |
| Sentara Health Plans | Urinary Incontinence Treatments, Medical 130 - Medicaid | 2026-01-01 |
| Sentara Health Plans | Cervical Fusion Procedures, Surgical 117 - Commercial | 2026-01-01 |
| Sentara Health Plans | Cervical Fusion Procedures, Surgical 117 - Medicaid | 2026-01-01 |
| Sentara Health Plans | Core Decompression of the Knee, Ankle, - Commercial | 2026-01-01 |
| Sentara Health Plans | Core Decompression of the Knee, Ankle, - Medicaid | 2026-01-01 |
| Sentara Health Plans | Core Decompression of the Knee, Ankle, - Medicare | 2026-01-01 |
| Sentara Health Plans | Nasal Repair, Surgical 230 - Commercial | 2026-01-01 |
| Sentara Health Plans | Nasal Repair, Surgical 230 - Medicaid | 2026-01-01 |
| Sentara Health Plans | Oral Incontinence Treatments, Surgical 220 - Commercial | 2026-01-01 |