| BCBS Highmark Delaware | Non-Custom/Custom-Made Gradient Compression Garments/Stockings/Sleeves | 2025-10-13 |
| BCBS Highmark Delaware | Osteotomy, Metatarsal | 2025-10-13 |
| BCBS Highmark Delaware | Percutaneous Tenotomy | 2025-10-13 |
| BCBS Highmark Delaware | Small Bowel, Small Bowel/Liver and Multivisceral Transplant | 2025-10-13 |
| BCBS Highmark Delaware | Ablation of Miscellaneous Solid Tumors | 2025-10-13 |
| BCBS Highmark Delaware | Eustachian Tube Balloon Dilation | 2025-10-13 |
| BCBS Highmark Delaware | Efgartigimod alfa-fcab (Vyvgart) and Efgartigimod alfa and hyaluronidase-qvfc (Vyvgart Hytrulo) | 2025-10-13 |
| BCBS Highmark West Virginia | Ambulance Services: Air and Water | 2025-10-13 |
| BCBS Highmark West Virginia | Surgical and Hybrid Cardiac Ablation Procedures | 2025-10-13 |
| BCBS Highmark West Virginia | Mobile Cardiac Outpatient Telemetry (MCOT) | 2025-10-13 |