| BCBS Highmark Delaware | Evinacumab-dgnb (Evkeeza) | 2025-12-01 |
| BCBS Highmark West Virginia | Nerve Conduction Studies and Electromyography | 2025-12-01 |
| BCBS Highmark West Virginia | Rarely Utilized Radiation and Oncology Procedures | 2025-12-01 |
| BCBS Highmark West Virginia | Miscellaneous Services | 2025-12-01 |
| BCBS Highmark West Virginia | Orthopedic Applications of Platelet-Rich Plasma | 2025-12-01 |
| BCBS Highmark West Virginia | Endovascular Procedures for Intracranial and Extracranial Cerebral Vascular Disease | 2025-12-01 |
| BCBS Highmark West Virginia | Human Growth Hormone | 2025-12-01 |
| BCBS Highmark West Virginia | Glofitamab-gxbm (Columvi) | 2025-12-01 |
| BCBS Highmark West Virginia | Evinacumab-dgnb (Evkeeza) | 2025-12-01 |
| BCBS Highmark West Virginia | Oncologic Indications for Histone Deacetylase (HDAC) Inhibitors | 2025-12-01 |