| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Chronic Wound Management | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Foot Orthotics for Conditions Other Than Diabetes | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Braces and Supports | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Wheelchairs (WC) and Options/Accessories | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Respiratory Assist Devices | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Paclitaxel (Taxol) | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Paclitaxel, albumin-bound (Abraxane) | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Fam-trastuzumab Deruxtecan-nxki (Enhertu) | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Pertuzumab, trastuzumab, and hyaluronidase-zzxf (Phesgo) | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Remestemcel-L-rknd (Ryoncil) | 2025-10-01 |