| Medical Mutual | Portrazza® (necitumumab) (Intravenous) | 2025-08-05 |
| Medical Mutual | Synagis® (Palivizumab) (Intramuscular) | 2025-08-05 |
| Medical Mutual | Tepezza® (teprotumumab-trbw) (Intravenous) | 2025-08-05 |
| Medical Mutual | Vectibix® (panitumumab) (Intravenous) | 2025-08-05 |
| BCBS Minnesota | Psychological and Neuropsychological Testing | 2025-08-04 |
| BCBS Minnesota | Hip Arthroplasty (Hip Replacement) and Hip Resurfacing | 2025-08-04 |
| BCBS Minnesota | Reduction Mammoplasty | 2025-08-04 |
| BCBS Minnesota | Meniscal Allografts and Other Meniscal Implants | 2025-08-04 |
| BCBS Minnesota | Artificial Intervertebral Discs | 2025-08-04 |
| BCBS Minnesota | Blepharoplasty and Brow Ptosis Repair | 2025-08-04 |