| Sentara Health Plans | Computer Assisted Navigation, Surgical 233 - Medicaid | 2025-09-01 |
| Sentara Health Plans | Computer Assisted Navigation, Surgical 233 - Medicare | 2025-09-01 |
| Sentara Health Plans | Total Ankle Replacement, Surgical 96 - Commercial | 2025-09-01 |
| Sentara Health Plans | Total Ankle Replacement, Surgical 96 - Medicaid | 2025-09-01 |
| Sentara Health Plans | Total Ankle Replacement, Surgical 96 - Medicare | 2025-09-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Thermography (Thermogram) | 2025-09-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Vascularized Composite Allotransplantation | 2025-09-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Tremelimumab (Imjudo) | 2025-09-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Ipilimumab (Yervoy) | 2025-09-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Lecanemab-irmb (Leqembi) | 2025-09-01 |