| BCBS Highmark NY and West NY | Percutaneous Creation of Arteriovenous Fistula | 2025-12-01 |
| BCBS Highmark NY and West NY | Endovascular Procedures for Intracranial and Extracranial Cerebral Vascular Disease | 2025-12-01 |
| BCBS Highmark NY and West NY | Per-Oral Endoscopic Myotomy | 2025-12-01 |
| BCBS Highmark NY and West NY | Evinacumab-dgnb (Evkeeza) | 2025-12-01 |
| BCBS Highmark NY and West NY | Human Growth Hormone | 2025-12-01 |
| BCBS Highmark NY and West NY | Obinutuzumab (Gazyva) | 2025-12-01 |
| BCBS Highmark Delaware | Nerve Conduction Studies and Electromyography | 2025-12-01 |
| BCBS Highmark Delaware | Rarely Utilized Radiation and Oncology Procedures | 2025-12-01 |
| BCBS Highmark Delaware | Miscellaneous Services | 2025-12-01 |
| BCBS Highmark Delaware | Per-Oral Endoscopic Myotomy | 2025-12-01 |