| Anthem Blue Cross | Powered Wheeled Mobility Devices | 2025-10-01 |
| Anthem Blue Cross | Tonsillectomy with or without Adenoidectomy for Adults | 2025-10-01 |
| Anthem Blue Cross | Balloon Dilation of the Eustachian Tubes | 2025-10-01 |
| Anthem Blue Cross | Vacuum Assisted Wound Therapy in the Outpatient Setting | 2025-10-01 |
| Anthem Blue Cross | Lower Extremity Pressure Gradient Compression Stockings | 2025-10-01 |
| Anthem Blue Cross | Self-Operated Spinal Unloading Devices | 2025-10-01 |
| Anthem Blue Cross | Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | 2025-10-01 |
| Anthem Blue Cross | Vitamin D Testing | 2025-10-01 |
| Anthem Blue Cross | Robotic Arm Assistive Devices | 2025-10-01 |
| Anthem Blue Cross | Remote Devices for Intermittent Monitoring of Intraocular Pressure | 2025-10-01 |