| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Implantable Hormone Replacement Pellets | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Endovascular/Endoluminal Stent Grafts | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Subfascial Endoscopic Perforator Surgery (SEPS) | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Microdiscectomy, Lumbar | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Coronary Revascularization | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Bariatric Surgery | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Intravascular Lithotripsy | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Assistant Surgery Eligibility Criteria | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Rozanolixizumab-noli (Rystiggo) | 2026-01-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Immune Globulin Therapy | 2026-01-01 |