| Ambetter Health Texas Superior Medicaid Clinical | Adrabetadex | 2026-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Adrabetadex | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Radiation Therapy for Non-malignant Disease | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Knee Surgery: Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Hip Surgery: Avascular Necrosis | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Knee Surgery: Anterolateral Ligament (ALL) Reconstruction | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Knee Surgery: Meniscal Allograft Transplantation | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Knee Surgery: High Tibial Osteotomy | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Intradiscal Procedures | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Shoulder Surgery: Debridement | 2026-05-01 |