| BCBS Massachusetts | Outpatient Pediatric Pain Rehabilitation Centers | 2023-09-01 |
| BCBS Highmark NY and West NY | Medically Fragile Children | 2023-09-01 |
| Sunshine Health Clinical Policy | Thyroid Hormones and Insulin Testing in Pediatrics | 2023-09-01 |
| Sunshine Health Clinical Policy | Digital EEG Spike Analysis | 2023-09-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Holter Monitors | 2023-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Holter Monitors | 2023-09-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | EEG in the Evaluation of Headache | 2023-09-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Evoked Potentials | 2023-09-01 |
| BCBS Federal Medical & Drug | 7.01.66 Allograft Injection for Degenerative Disc Disease | 2023-09-01 |
| Wellcare Hawaii Medicaid Clinical | Allergy Testing and Therapy | 2023-09-01 |