| Aetna | Lymphangioma and Infantile Hemangioma | 2025-12-03 |
| Aetna | Face Transplantation | 2025-12-03 |
| Aetna | Cardiopulmonary Exercise Testing | 2025-12-03 |
| Aetna | Transcatheter Aortic Valve Implantation | 2025-12-03 |
| Aetna | Intra-vascular Optical Coherence Tomography | 2025-12-03 |
| Aetna | Caplacizumab-yhdp (Cablivi) | 2025-12-03 |
| Medical Mutual | Empaveli® (pegcetacoplan) | 2025-12-03 |
| Humana Medicaid | Breast Procedures - MEDICAID - VIRGINIA | 2025-12-03 |
| Humana Medicaid | Cardiac Devices - MEDICAID - OHIO | 2025-12-03 |
| Humana Medicaid | Eyebrow and Eyelid Repair - MEDICAID - VIRGINIA | 2025-12-03 |