| BCBS Highmark Delaware | Implantable Intrathecal Drug Delivery System | 2026-05-01 |
| BCBS Highmark Delaware | Shoulder Surgery: Labral Repair | 2026-05-01 |
| BCBS Highmark Delaware | Shoulder Surgery: Coracoplasty/Subcoracoid Decompression | 2026-05-01 |
| BCBS Highmark Delaware | Knee Replacement, Partial | 2026-05-01 |
| BCBS Highmark Delaware | Bone Marrow Aspirate Concentrate (BMAC) | 2026-05-01 |
| BCBS Highmark Delaware | Knee Surgery: Abrasion Arthroplasty/Microfracturing/Subchondral Drilling | 2026-05-01 |
| BCBS Highmark Delaware | Shoulder Surgery: Biceps Tenodesis | 2026-05-01 |
| BCBS Highmark West Virginia | Intradiscal Procedures | 2026-05-01 |
| BCBS Highmark West Virginia | Hip Surgery: Open or Arthroscopic | 2026-05-01 |
| BCBS Highmark West Virginia | Hip Surgery: Femoroacetabular Impingement | 2026-05-01 |