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| Ambetter Health Texas Superior Marketplace Clinical | Tandem Transplant | 2025-01-01 |
| Sunshine Health Clinical Policy | Non-Myeloablative Allogeneic Stem Cell Transplants | 2025-01-01 |
| BCBS Iowa Medical Policies | Baroreflex Stimulation Devices Components and Ancillary Services | 2025-01-01 |
| BCBS Iowa Medical Policies | Chemical Peels | 2025-01-01 |
| BCBS Iowa Medical Policies | Contraceptives for Medical Indications (Non-Contraceptive Use) | 2025-01-01 |
| BCBS Iowa Medical Policies | Irreversible Electroportation of Tumors Located in the Liver Pancreas Kidney and Liver | 2025-01-01 |
| BCBS Iowa Medical Policies | Non-invasive Heart Failure and Arrhythmia Management and Monitoring System | 2025-01-01 |
| BCBS Iowa Medical Policies | Orthognathic Surgery* | 2025-01-01 |
| BCBS Iowa Medical Policies | Pulsed Radiofrequency Ablation | 2025-01-01 |