| BCBS Premera WA AK Clinical | Kidney Transplant | 2025-10-13 |
| BCBS Premera WA AK Clinical | Prostatic Urethral Lift | 2025-10-13 |
| BCBS Premera WA AK Clinical | Oscillatory Devices for the Treatment of Cystic Fibrosis | 2025-10-13 |
| BCBS Premera WA AK Clinical | Transcatheter Arterial Chemoembolization (TACE) to Treat | 2025-10-13 |
| BCBS Premera WA AK Clinical | 4.02.503 Infertility and Assisted Reproduction Services | 2025-10-13 |
| BCBS Highmark Delaware | Vedolizumab (Entyvio) | 2025-10-13 |
| BCBS Highmark West Virginia | Ablation of Miscellaneous Solid Tumors | 2025-10-13 |
| BCBS Highmark West Virginia | Percutaneous Tenotomy | 2025-10-13 |
| BCBS Highmark West Virginia | Eustachian Tube Balloon Dilation | 2025-10-13 |
| BCBS Highmark West Virginia | Small Bowel, Small Bowel/Liver and Multivisceral Transplant | 2025-10-13 |