| BCBS Massachusetts | Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia | 2025-03-01 |
| BCBS Massachusetts | Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults | 2025-03-01 |
| BCBS Massachusetts | InterQual Musculoskeletal Services Management | 2025-03-01 |
| BCBS Massachusetts | Noncontact Ultrasound Treatment for Wounds | 2025-03-01 |
| BCBS Massachusetts | Phototherapy PUVA UV-B and Targeted Phototherapy | 2025-03-01 |
| BCBS Massachusetts | Stem-cell Therapy for Peripheral Arterial Disease | 2025-03-01 |
| BCBS South Dakota Medical Policies | Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non-Orthopedic Conditions | 2025-03-01 |
| BCBS South Dakota Medical Policies | Stem Cell Therapy for Lung Disease* | 2025-03-01 |
| BCBS South Dakota Medical Policies | Stem Cell Therapy for Orthopedic Indications (Including Allograft Bone Products Used with Stem Cells) | 2025-03-01 |
| BCBS South Dakota Medical Policies | Therapeutic Plasmapheresis or Plasma Exchange | 2025-03-01 |