| Anthem Blue Cross | Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain | 2025-12-18 |
| Aetna | Wheelchairs and Power Operated Vehicles (Scooters) | 2025-12-18 |
| Aetna | Renal Sympathetic Nerve Ablation | 2025-12-18 |
| Aetna | Brachial Plexus Surgery | 2025-12-18 |
| Anthem Blue Cross | Assisted Reproductive Technology | 2025-12-18 |
| Anthem Blue Cross | Percutaneous Electrical Nerve Field Stimulation (PENFS) | 2025-12-18 |
| Medical Mutual | Botox® (onabotulinumtoxinA) | 2025-12-18 |
| Medical Mutual | Cosentyx ® (secukinumab injection for subcutaneous use) | 2025-12-18 |
| Medical Mutual | Dysport® (abobotulinumtoxinA) | 2025-12-18 |
| Medical Mutual | Myobloc® (rimabotulinumtoxinB) | 2025-12-18 |