| Ambetter Health Nebraska Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Nebraska Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Ambetter Health Nevada Silver Summit Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health Nevada Silver Summit Clinical | Neuromuscular Electrical Stimulation (NMES) | 2025-05-01 |
| Ambetter Health Nevada Silver Summit Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Biofeedback for Behavioral Health Disorders | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Facet Joint Interventions | 2025-05-01 |