| BCBS South Dakota Medical Policies | Bone Conduction Hearing Devices* | 2025-02-01 |
| BCBS South Dakota Medical Policies | Confocal Laser Endomicroscopy | 2025-02-01 |
| BCBS South Dakota Medical Policies | Laser Interstitial Thermal Therapy (LITT) | 2025-02-01 |
| BCBS South Dakota Medical Policies | Tumor Markers in the Management of Malignancies | 2025-02-01 |
| Ambetter Health Arizona Clinical | Assisted Reproductive Technology | 2025-02-01 |
| Ambetter Health Arizona Clinical | Deep Transcranial Magnetic Stimulation for the Treatment of OCD | 2025-02-01 |
| Ambetter Health Arizona Clinical | Donor Lymphocyte Infusion | 2025-02-01 |
| Ambetter Health Arizona Clinical | Implantable Wireless Pulmonary Artery Pressure Monitoring | 2025-02-01 |
| Ambetter Health Arizona Clinical | IMRT | 2025-02-01 |
| Ambetter Health Arizona Clinical | Lung Transplantation | 2025-02-01 |