| Sentara Health Plans | Scalp Cooling During Chemotherapy, DME 249 - Commercial | 2025-12-01 |
| Sentara Health Plans | Scalp Cooling During Chemotherapy, DME 249 - Medicaid | 2025-12-01 |
| Sentara Health Plans | Implantable Hemodynamic Monitoring for - Commercial | 2025-12-01 |
| Sentara Health Plans | Implantable Hemodynamic Monitoring for - Medicaid | 2025-12-01 |
| Sentara Health Plans | Doula Services, OB 13 - Medicaid | 2025-12-01 |
| Sentara Health Plans | Cervical Laminectomy, Surgical 122 - Commercial | 2025-12-01 |
| Sentara Health Plans | Cervical Laminectomy, Surgical 122 - Medicaid | 2025-12-01 |
| Sentara Health Plans | Cervical Laminectomy, Surgical 122 - Medicare | 2025-12-01 |
| Sentara Health Plans | Lumbar Discectomy, Surgical 120 - Commercial | 2025-12-01 |
| Sentara Health Plans | Lumbar Discectomy, Surgical 120 - Medicaid | 2025-12-01 |