| Wellcare Alabama Medicare Clinical | Intensity Modulated Radiation Therapy (IMRT) | 2025-02-01 |
| Wellcare Alabama Medicare Clinical | Donor Lymphocyte Infusion | 2025-02-01 |
| Wellcare Alabama Medicare Clinical | Implantable Wireless Pulmonary Artery Pressure Monitoring | 2025-02-01 |
| Wellcare Alabama Medicare Clinical | Peripheral Nerve Blocks and Ablation of Peripheral | 2025-02-01 |
| Wellcare Alabama Medicare Clinical | Pediatric Kidney Transplant | 2025-02-01 |
| Wellcare North Carolina Medicaid Clinical | Balloon Ostial Dilation | 2025-02-01 |
| Wellcare North Carolina Medicaid Clinical | Gastrointestinal Pathogen Nucleic Acid Detection | 2025-02-01 |
| Wellcare North Carolina Medicaid Clinical | Hearing Aid Services In Members Under Age 21 | 2025-02-01 |
| Wellcare North Carolina Medicaid Clinical | Heart (Cardiac) Transplantation | 2025-02-01 |
| Wellcare North Carolina Medicaid Clinical | Heart/Lung Transplantation | 2025-02-01 |