| Ambetter Health Arizona Clinical | Therapeutic Utilization of Inhaled Nitric Oxide | 2025-04-01 |
| Ambetter Health Arizona Clinical | Transcranial Magnetic Stimulation | 2025-04-01 |
| BCBS California | Chronic Intermittent Intravenous Insulin Therapy | 2025-04-01 |
| BCBS California | Cleft Palate - Dental Related Services | 2025-04-01 |
| BCBS California | Cochlear Implant | 2025-04-01 |
| BCBS California | Cranial Electrotherapy Stimulation and Auricular Electrostimulation | 2025-04-01 |
| BCBS California | Cryoablation, Radiofrequency Ablation, and Laser Ablation
for Treatment of Chronic Rhinitis | 2025-04-01 |
| BCBS California | Dynamic Posturography | 2025-04-01 |
| BCBS California | Ambulatory Surgery Center | 2025-04-01 |
| BCBS California | Auditory Brainstem Implant | 2025-04-01 |