| BCBS California | Composite Tissue Allotransplantation of the Hand and Face | 2025-11-01 |
| BCBS California | Cryoablation of Tumors Located in the Kidney, Lung, Breast, Pancreas, or Bone | 2025-11-01 |
| BCBS California | Cryosurgical Ablation of Primary or Metastatic Liver Tumors | 2025-11-01 |
| BCBS California | Elective Invasive Coronary Angiography (ICA) | 2025-11-01 |
| BCBS California | Elective Percutaneous Coronary Intervention (PCI) | 2025-11-01 |
| BCBS California | Ablation of Peripheral Nerves to Treat Pain | 2025-11-01 |
| BCBS California | Endobronchial Ultrasound for Diagnosis and Staging of Lung Cancer | 2025-11-01 |
| BCBS California | Allogeneic Pancreas Transplant | 2025-11-01 |
| BCBS California | Balloon Dilation of the Eustachian Tube | 2025-11-01 |
| BCBS California | Baroreflex Stimulation Devices | 2025-11-01 |