| Aetna | Plasmapheresis/Plasma Exchange/Therapeutic Apheresis | 2025-10-08 |
| Molina Clinical Policy | Minimally Invasive Glaucoma Surgeries | 2025-10-08 |
| Molina Clinical Policy | Papzimeos (zopapogene imadenovec) | 2025-10-08 |
| Molina Clinical Policy | Radiofrequency Treatment of Nasal Airway Obstruction (e.g., VivAer) | 2025-10-08 |
| Aetna | Constraint-Induced Therapy | 2025-10-07 |
| Aetna | Auditory Processing Disorder (APD) | 2025-10-07 |
| Aetna | Subtalar Implant for Foot Deformity | 2025-10-07 |
| Aetna | Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications | 2025-10-07 |
| Aetna | Gastric Pacing / Electrical Stimulation and Gastroesophageal Per Oral Endoscopic Myotomy | 2025-10-07 |
| Humana Medicaid | Prosthetics - MEDICAID - KENTUCKY | 2025-10-07 |