| BCBS Federal Medical & Drug | 7.03.09 Heart Transplant | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.12 Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 Diabetes | 2025-12-01 |
| BCBS Federal Medical & Drug | 7.03.13 Composite Tissue Allotransplantation of the Hand and Face | 2025-12-01 |
| BCBS Federal Medical & Drug | 8.01.01 Adoptive Immunotherapy | 2025-12-01 |
| BCBS Federal Medical & Drug | 8.01.52 Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used With Autologous Bone Marrow) | 2025-12-01 |
| BCBS Federal Medical & Drug | 8.01.57 Baroreflex Stimulation Devices | 2025-12-01 |
| BCBS Federal Medical & Drug | 8.01.61 Focal Treatments for Prostate Cancer | 2025-12-01 |
| BCBS Federal Medical & Drug | 8.03.10 Cognitive Rehabilitation | 2025-12-01 |
| Ambetter Health Louisiana Clinical | Concert Genetic Testing: Hematology (V2.2025) | 2025-12-01 |
| Ambetter Health Louisiana Clinical | Concert Genetic Testing: Otolaryngology (V2.2025) | 2025-12-01 |