| Sentara Health Plans Avalon | M2067: Therapeutic Drug Monitoring for 5-Fluorouracil | 2025-04-01 |
| Ambetter Health Louisiana Clinical | Transcranial Magnetic Stimulation | 2025-04-01 |
| Ambetter Health Mississippi Magnolia Clinical | Transcranial Magnetic Stimulation | 2025-04-01 |
| Wellcare Hawaii Medicaid Clinical | Intestinal and Multivisceral Transplant | 2025-04-01 |
| Wellcare Hawaii Medicaid Clinical | Sacroiliac Joint Fusion | 2025-04-01 |
| Wellcare Hawaii Medicaid Clinical | Liposuction for Lipedema | 2025-04-01 |
| Wellcare North Carolina Medicaid Clinical | Sacroiliac Joint Fusion | 2025-04-01 |
| BCBS Minnesota | Cognitive Rehabilitation | 2025-03-31 |
| BCBS Minnesota | Powered Exoskeleton | 2025-03-31 |
| BCBS Minnesota | Occipital Nerve Decompression for Treatment of Chronic Headache | 2025-03-31 |