| Anthem Blue Cross | Viscocanalostomy | 2026-01-06 |
| Anthem Blue Cross | Air Conduction Hearing Aids | 2026-01-06 |
| Anthem Blue Cross | Prothrombin Time Self-Monitoring Devices | 2026-01-06 |
| Anthem Blue Cross | Lower Esophageal Sphincter Augmentation Devices | 2026-01-06 |
| Anthem Blue Cross | Autologous Adipose-derived Regenerative Cell Therapy | 2026-01-06 |
| Anthem Blue Cross | Inpatient Interfacility Transfers | 2026-01-06 |
| Anthem Blue Cross | Endothelial Keratoplasty | 2026-01-06 |
| Anthem Blue Cross | Selected Sleep Testing Services | 2026-01-06 |
| Anthem Blue Cross | Serological Antibody Testing For Helicobacter Pylori | 2026-01-06 |
| Anthem Blue Cross | Surgical Strabismus Correction | 2026-01-06 |