| BCBS Highmark NY and West NY | Durable Medical Equipment | 2025-11-03 |
| BCBS Highmark NY and West NY | Diabetic Services, Continuous Glucose Monitoring, and Supplies | 2025-11-03 |
| BCBS Highmark NY and West NY | Negative Pressure Wound Therapy Pumps/Vacuum Assisted Closure of Chronic Wounds | 2025-11-03 |
| BCBS Highmark NY and West NY | Functional Neuromuscular Electrical Stimulation and Other Electrical Stimulators | 2025-11-03 |
| BCBS Highmark NY and West NY | Miscellaneous Services | 2025-11-03 |
| BCBS Highmark NY and West NY | Outpatient Pulmonary Rehabilitation | 2025-11-03 |
| BCBS Highmark NY and West NY | Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers) | 2025-11-03 |
| BCBS Highmark NY and West NY | Zopapogene Imadenovec-drba (Papzimeos) | 2025-11-03 |
| BCBS Highmark NY and West NY | Trastuzumab (Herceptin), Trastuzumab Biosimilars, and Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta) | 2025-11-03 |
| BCBS Highmark NY and West NY | Zoledronic Acid (Reclast, Zometa) | 2025-11-03 |