| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Ambulance Services: Air and Water | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Surgical and Hybrid Cardiac Ablation Procedures | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Mobile Cardiac Outpatient Telemetry (MCOT) | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Non-Custom/Custom-Made Gradient Compression Garments/Stockings/Sleeves | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Seat Lift Mechanisms | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Osteotomy, Metatarsal | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Small Bowel, Small Bowel/Liver and Multivisceral Transplant | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Percutaneous Tenotomy | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Ablation of Miscellaneous Solid Tumors | 2025-10-13 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Exagamglogene autotemcel (Casgevy) | 2025-10-13 |