| BCBS Federal Medical & Drug | 7.01.162 Surgical Treatments for Breast Cancer-Related Lymphedema | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.01.163 Absorbable Nasal Implant for Treatment of Nasal Valve Collapse | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.01.171 Remote Electrical Neuromodulation for Migraines | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.01 Kidney Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.02 Allogeneic Pancreas Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.04 Isolated Small Bowel Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.05 Small Bowel/Liver and Multivisceral Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.06 Liver Transplant and Combined Liver-Kidney Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.07 Lung and Lobar Lung Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.08 Heart/Lung Transplant | 2025-12-01 |