| Aetna | Clofarabine (Clolar) | 2025-05-28 |
| Presbyterian Health Plan | Allergen Immunotherapy | 2025-05-28 |
| Presbyterian Health Plan | Allergy Testing | 2025-05-28 |
| Presbyterian Health Plan | Bariatric Surgery for Pediatric Population | 2025-05-28 |
| Presbyterian Health Plan | Investigative & New Technology Assessment List (Non-Covered Services) | 2025-05-28 |
| Presbyterian Health Plan | Durable Medical Equipment: Orthotics and Prosthetics | 2025-05-28 |
| Presbyterian Health Plan | Genetic, Biomarker and Genomic Testing | 2025-05-28 |
| Presbyterian Health Plan | Genetic Testing for Carrier Testing and Prenatal Diagnosis | 2025-05-28 |
| Presbyterian Health Plan | Genetic Testing, InvisionFirst Liquid Biopsy for Lung Cancer | 2025-05-28 |
| Presbyterian Health Plan | Genetic Testing: Next Generation Sequencing | 2025-05-28 |