| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Cognitive Rehabilitation | 2023-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Electroretinography | 2023-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Repository Corticotropin Intramuscular Injection (Acthar Gel) | 2023-10-01 |
| BCBS Highmark Penn Medicare Advantage | Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography | 2023-10-01 |
| BCBS Highmark NY and West NY | Cognitive Rehabilitation | 2023-10-01 |
| BCBS Highmark NY and West NY | Vision Therapy (Orthoptics and Pleoptics) | 2023-10-01 |
| BCBS Highmark NY and West NY | External Counterpulsation | 2023-10-01 |
| BCBS Highmark NY and West NY | Repository Corticotropin Intramuscular Injection (Acthar Gel) | 2023-10-01 |
| BCBS Highmark Delaware | Cognitive Rehabilitation | 2023-10-01 |
| BCBS Highmark Delaware | Vision Therapy (Orthoptics and Pleoptics) | 2023-10-01 |