| Anthem Blue Cross | Tonsillectomy with or without Adenoidectomy for Adults | 2025-10-01 |
| Anthem Blue Cross | Balloon Dilation of the Eustachian Tubes | 2025-10-01 |
| Anthem Blue Cross | Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in the Home Setting | 2025-10-01 |
| Anthem Blue Cross | Vacuum Assisted Wound Therapy in the Outpatient Setting | 2025-10-01 |
| Anthem Blue Cross | Cardiac Electrophysiological Studies (EPS) and Catheter Ablation | 2025-10-01 |
| Anthem Blue Cross | Lower Extremity Pressure Gradient Compression Stockings | 2025-10-01 |
| Anthem Blue Cross | Self-Operated Spinal Unloading Devices | 2025-10-01 |
| Anthem Blue Cross | Mastectomy for Gynecomastia | 2025-10-01 |
| Anthem Blue Cross | Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | 2025-10-01 |
| Anthem Blue Cross | Vitamin D Testing | 2025-10-01 |