| BCBS Highmark Delaware | Negative Pressure Wound Therapy Pumps/Vacuum Assisted Closure of Chronic Wounds | 2025-11-03 |
| BCBS Highmark Delaware | Diabetic Services, Continuous Glucose Monitoring, and Supplies | 2025-11-03 |
| BCBS Highmark Delaware | Portable External Infusion Pump | 2025-11-03 |
| BCBS Highmark Delaware | Outpatient Pulmonary Rehabilitation | 2025-11-03 |
| BCBS Highmark Delaware | Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers) | 2025-11-03 |
| BCBS Highmark Delaware | Trastuzumab (Herceptin), Trastuzumab Biosimilars, and Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta) | 2025-11-03 |
| BCBS Highmark West Virginia | Diabetic Services, Continuous Glucose Monitoring, and Supplies | 2025-11-03 |
| BCBS Highmark West Virginia | Durable Medical Equipment | 2025-11-03 |
| BCBS Highmark West Virginia | Negative Pressure Wound Therapy Pumps/Vacuum Assisted Closure of Chronic Wounds | 2025-11-03 |
| BCBS Highmark West Virginia | Outpatient Pulmonary Rehabilitation | 2025-11-03 |