| BCBS Louisiana | Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow Reserve | 2025-11-15 |
| BCBS Louisiana | Sacroiliac Joint Fusion (Percutaneous/Minimally Invasive Techniques) | 2025-11-15 |
| BCBS Louisiana Avalon | G2036: Hepatitis Testing | 2025-11-15 |
| BCBS Louisiana Avalon | G2050: Cardiovascular Disease Risk Assessment | 2025-11-15 |
| BCBS Louisiana Avalon | G2124: Serum Tumor Markers for Malignancies | 2025-11-15 |
| BCBS Louisiana Avalon | G2153: Pancreatic Enzyme Testing for Acute Pancreatitis | 2025-11-15 |
| BCBS Louisiana Avalon | M2097: Identification of Microorganisms using Nucleic Acid Probes | 2025-11-15 |
| Carelon Medical Benefits Management | Diagnostic Coronary Angiography 2025-11-15 | 2025-11-15 |
| Carelon Medical Benefits Management | Febrile Neutropenia Risk 2025-11-15 | 2025-11-15 |
| Carelon Medical Benefits Management | Endovascular Revascularization 2025-11-15 updated 2026-01-01 | 2025-11-15 |