| Anthem Blue Cross | PET/MRI | 2025-10-01 |
| Anthem Blue Cross | Hyperbaric Oxygen Therapy (Systemic/Topical) | 2025-10-01 |
| Anthem Blue Cross | Site of Care: Specialty Pharmaceuticals | 2025-10-01 |
| Anthem Blue Cross | Allogeneic Bone Marrow-Derived Mesenchymal Stromal Cell Therapy | 2025-10-01 |
| Anthem Blue Cross | Mechanized Spinal Distraction Therapy | 2025-10-01 |
| Anthem Blue Cross | Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and Lumbar | 2025-10-01 |
| Anthem Blue Cross | Implanted Devices for Spinal Stenosis | 2025-10-01 |
| Anthem Blue Cross | Coblation® Therapies for Musculoskeletal Conditions | 2025-10-01 |
| Anthem Blue Cross | Microprocessor Controlled Lower Limb Prosthesis | 2025-10-01 |
| Anthem Blue Cross | Microprocessor Controlled Knee-Ankle-Foot Orthosis | 2025-10-01 |