| Health Net Comm & Medi-Cal Plan | Pediatric Kidney Transplant | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Responsive Neurostimulation for the Treatment of Refractory Partial Epilepsy | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Corpectomy, Vertebral | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Ankle Arthroscopy | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Repair, Metatarsal | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Decompression and Discectomy, Thoracic | 2025-02-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Spinal Fusion, Thoracic and Thoracolumbar | 2025-02-01 |
| BCBS Highmark NY and West NY | Deep Brain Stimulation | 2025-02-01 |
| BCBS Highmark NY and West NY | Eye Prosthesis | 2025-02-01 |
| BCBS Highmark NY and West NY | Arthrodesis, Interphalangeal Joint | 2025-02-01 |