| BCBS North Carolina | Radioembolization for Primary and Metastatic Tumors of the Liver | Providers | 2025-05-01 |
| BCBS North Carolina | Sacroiliac Joint Fusion/Stabilization | Providers | 2025-05-01 |
| BCBS North Carolina | Screening for Vertebral Fracture with Dual X-ray Absorptiometry (DXA) | Providers | 2025-05-01 |
| BCBS North Carolina | Small Bowel, Small Bowel with Liver, or Multivisceral Transplant | Providers | 2025-05-01 |
| BCBS North Carolina | Surgical Deactivation of Headache Trigger Sites | Providers | 2025-05-01 |
| BCBS North Carolina | Therapeutic Radiopharmaceuticals in Oncology | Providers | 2025-05-01 |
| BCBS North Carolina | Vagus Nerve Stimulation | Providers | 2025-05-01 |
| BCBS North Carolina | Vertebroplasty, Kyphoplasty, and Sacroplasty Percutaneous | Providers | 2025-05-01 |
| Sunshine Health Clinical Policy | Activity Therapy Benefit for Children Under 21 | 2025-05-01 |
| Sunshine Health Clinical Policy | Activity Therapy Expanded Benefit | 2025-05-01 |