| BCBS Massachusetts | Surgical Ventricular Restoration | 2025-04-01 |
| BCBS Massachusetts | Temporomandibular Joint Disorder | 2025-04-01 |
| BCBS Massachusetts | Treatment of Tinnitus | 2025-04-01 |
| BCBS Massachusetts | 140 Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction | 2025-04-01 |
| Ambetter Health Arizona Clinical | Sacroiliac Joint Fusion | 2025-04-01 |
| Ambetter Health Arizona Clinical | Transcranial Magnetic Stimulation | 2025-04-01 |
| BCBS California | Ambulatory Surgery Center | 2025-04-01 |
| BCBS California | Hysterectomy Surgery for Benign Conditions | 2025-04-01 |
| BCBS California | Ingestible pH and Pressure Capsule | 2025-04-01 |
| BCBS California | Occupational Therapy | 2025-04-01 |