| BCBS Highmark NY and West NY | Lysis of Epidural Adhesions | 2026-06-01 |
| BCBS Highmark NY and West NY | Hip Surgery: Synovectomy | 2026-06-01 |
| BCBS Highmark NY and West NY | Intradiscal Procedures | 2026-06-01 |
| BCBS Highmark NY and West NY | Bone Marrow Aspirate Concentrate (BMAC) | 2026-06-01 |
| BCBS Highmark NY and West NY | Knee Surgery: Anterolateral Ligament (ALL) Reconstruction | 2026-06-01 |
| BCBS Highmark NY and West NY | Knee Surgery: High Tibial Osteotomy | 2026-06-01 |
| BCBS Highmark NY and West NY | Teclistamab-cqyv (Tecvayli) | 2026-06-01 |
| BCBS Highmark NY and West NY | Trastuzumab (Herceptin), Trastuzumab Biosimilars, and Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta) | 2026-06-01 |
| BCBS Highmark NY and West NY | Zoledronic Acid (Reclast, Zometa) | 2026-06-01 |
| BCBS Highmark NY and West NY | New York Step Therapy Override Exception | 2026-06-01 |