| Ambetter Health Texas Superior Marketplace Clinical | Drugs of Abuse: Definitive Testing | 2025-03-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Home Ventilators | 2025-03-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other | 2025-03-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Wheelchair Seating | 2025-03-01 |
| Sunshine Health Clinical Policy | Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention | 2025-03-01 |
| Sunshine Health Clinical Policy | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other | 2025-03-01 |
| BCBS Iowa Medical Policies | Stem Cell Therapy for Lung Disease* | 2025-03-01 |
| BCBS Iowa Medical Policies | Stem Cell Therapy for Orthopedic Indications (Including Allograft Bone Products Used with Stem Cells) | 2025-03-01 |
| BCBS Iowa Medical Policies | Therapeutic Plasmapheresis or Plasma Exchange | 2025-03-01 |
| BCBS Massachusetts | Gene Therapy for Inherited Retinal Dystrophy Luxturna | 2025-03-01 |