| BCBS Highmark Delaware | Endoscopic Radiofrequency Ablation/Cryotherapy | 2025-12-01 |
| BCBS Highmark Delaware | Percutaneous Creation of Arteriovenous Fistula | 2025-12-01 |
| BCBS Highmark Delaware | Endovascular Procedures for Intracranial and Extracranial Cerebral Vascular Disease | 2025-12-01 |
| BCBS Highmark Delaware | Orthopedic Applications of Platelet-Rich Plasma | 2025-12-01 |
| BCBS Highmark Delaware | Human Growth Hormone | 2025-12-01 |
| BCBS Highmark Delaware | Glofitamab-gxbm (Columvi) | 2025-12-01 |
| BCBS Highmark Delaware | Evinacumab-dgnb (Evkeeza) | 2025-12-01 |
| BCBS Highmark West Virginia | Nerve Conduction Studies and Electromyography | 2025-12-01 |
| BCBS Highmark West Virginia | Rarely Utilized Radiation and Oncology Procedures | 2025-12-01 |
| BCBS Highmark West Virginia | Miscellaneous Services | 2025-12-01 |