| BCBS Highmark Delaware | Braces and Supports | 2025-10-01 |
| BCBS Highmark Delaware | Wheelchairs (WC) and Options/Accessories | 2025-10-01 |
| BCBS Highmark Delaware | Respiratory Assist Devices | 2025-10-01 |
| BCBS Highmark Delaware | Hematopoietic Cell Transplantation: Non-Cancer Diseases | 2025-10-01 |
| BCBS Highmark Delaware | Apheresis Therapy | 2025-10-01 |
| BCBS Highmark Delaware | Surgery for Groin Pain in Athletes | 2025-10-01 |
| BCBS Highmark Delaware | Aqueous Shunts and Stents for Glaucoma | 2025-10-01 |
| BCBS Highmark Delaware | Paclitaxel, albumin-bound (Abraxane) | 2025-10-01 |
| BCBS Highmark Delaware | Ixabepilone (Ixempra) | 2025-10-01 |
| BCBS Highmark Delaware | Pertuzumab (Perjeta) | 2025-10-01 |