| BCBS Minnesota | Hematopoietic Stem Cell Transplantation for Solid Tumors of Childhood | 2025-09-01 |
| Sentara Health Plans | External Insulin Infusion Pump, DME 11 - Commercial | 2025-09-01 |
| Sentara Health Plans | External Insulin Infusion Pump, DME 11 - Medicaid | 2025-09-01 |
| Sentara Health Plans | ARTS Family Support Partners, BH 41 - Medicaid | 2025-09-01 |
| Sentara Health Plans | ARTS Peer Support Services, BH 40 - Medicaid | 2025-09-01 |
| Sentara Health Plans | Fetal Magnetic Cardiac Signal, Medical 297 - Commercial | 2025-09-01 |
| Sentara Health Plans | Fetal Magnetic Cardiac Signal, Medical 297 - Medicaid | 2025-09-01 |
| Sentara Health Plans | Fetal Magnetic Cardiac Signal, Medical 297 - Medicare | 2025-09-01 |
| Sentara Health Plans | Wound Treatment, Medical 343 - Commercial | 2025-09-01 |
| Sentara Health Plans | Wound Treatment, Medical 343 - Medicaid | 2025-09-01 |