| Aetna | Emapalumab-lzsg (Gamifant) | 2025-12-08 |
| Aetna | Signal-Averaged Electrocardiography (SAECG) and Artificial Intelligence Algorithmic Electrocardiogram | 2025-12-08 |
| Humana Medicaid | 23 Hour Behavioral Health Observation - In Lieu of Service - MEDICAID - LOUISIANA | 2025-12-08 |
| Humana Medicaid | Freestanding Psychiatric Hospital for Adults - In Lieu of Service - MEDICAID - LOUISIANA | 2025-12-08 |
| Humana Medicaid | Low-Frequency, Noncontact, Nonthermal Ultrasound for Wound Care - MEDICAID - LOUISIANA | 2025-12-08 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Manipulation Services | 2025-12-08 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Medical Nutrition Management Services (MNT) | 2025-12-08 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Temporomandibular Joint (TMJ) Dysfunction | 2025-12-08 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Wearable Cardioverter-Defibrillator | 2025-12-08 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Tumor Markers | 2025-12-08 |