| BCBS Highmark Delaware | Enzyme Replacement Therapies | 2026-10-01 |
| BCBS Highmark West Virginia | Phrenic Nerve Stimulation | 2026-10-01 |
| BCBS Highmark West Virginia | Ankle Arthroscopy | 2026-10-01 |
| BCBS Highmark West Virginia | Granulocyte Colony-Stimulating Factors | 2026-10-01 |
| BCBS Highmark West Virginia | Hemophilia Treatment Clotting Factors/Coagulant Blood Products | 2026-10-01 |
| Sentara Health Plans | Iontophoresis Treatment for Hyperhidrosis, - Commercial | 2026-10-01 |
| BCBS Massachusetts | Audio-Visual Neuromodulation for Neuropathic Pain | 2026-10-01 |
| BCBS Massachusetts | Evaluation of Cerebrospinal fluid, Urine, and Plasma Tests for Alzheimer Disease | 2026-10-01 |
| BCBS Massachusetts | Immersive Virtual Reality Therapy for Chronic Lower Back Pain | 2026-10-01 |
| BCBS Massachusetts | Implantable Shock Absorber for Treatment of Knee Osteoarthritis | 2026-10-01 |