| BCBS Kansas | Cryoablation of Tumors Located in the Kidney, Lung, Breast, Pancreas, or Bone | 2026-09-08 |
| BCBS Kansas | Genetic Testing for Diagnosis and Management of Mental Health Conditions | 2026-09-08 |
| BCBS Kansas | Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies | 2026-09-08 |
| BCBS Kansas | Radioembolization for Primary and Metastatic Tumors of the Liver | 2026-09-08 |
| HealthPartners | Neuromuscular electrical stimulation (NMES) and | 2026-09-08 |
| HealthPartners | Nutritional support - Minnesota Health Care Programs | 2026-09-08 |
| Paramount Healthcare | Cosmetic and Reconstructive Surgery | 2026-09-08 |
| Paramount Healthcare | Durable Medical Equipment (DME) | 2026-09-08 |
| Paramount Healthcare | Blood Glucose Monitors and Testing Supplies | 2026-09-08 |
| Paramount Healthcare | Testing & Management of Obstructive
Sleep Apnea | 2026-09-08 |