| BCBS Massachusetts | Percutaneous Coronary Intervention | 2024-10-01 |
| BCBS Massachusetts | Preimplantation Genetic Testing | 2024-10-01 |
| BCBS Massachusetts | Routine Foot Care and Debridement of Toenails | 2024-10-01 |
| BCBS Massachusetts | Single Chamber and Dual Chamber Permanent Cardiac Pacemakers | 2024-10-01 |
| BCBS Massachusetts | Tumor Markers for diagnosis and management of cancer | 2024-10-01 |
| BCBS South Dakota Medical Policies | Annular Closure Devices | 2024-10-01 |
| BCBS South Dakota Medical Policies | Fecal Calprotectin and Lactoferrin Testing in the Diagnosis and Management of Inflammatory Bowel Disease | 2024-10-01 |
| BCBS South Dakota Medical Policies | Miscellaneous Electrical Stimulation for the Treatment of Pain | 2024-10-01 |
| BCBS South Dakota Medical Policies | Pancreas Transplants* (Including Simultaneous Pancreas-Kidney, Pancreas alone, and Pancreas after Kidney) | 2024-10-01 |
| BCBS South Dakota Medical Policies | Prostatic Urethral Lift | 2024-10-01 |