| Ambetter Health Louisiana Clinical | Bariatric Surgery | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Donor Lymphocyte Infusion | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Heart-Lung Transplant | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Home Ventilators | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Immobilized Lipase Cartridges (RELiZORB®) (CP.MP.252) | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Implantable Wireless Pulmonary Artery Pressure Monitoring | 2026-02-01 |
| Ambetter Health Louisiana Clinical | IMRT | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Lung Transplantation | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Nerve Blocks | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Outpatient Cardiac Rehabilitation | 2026-02-01 |