| BCBS Massachusetts | Systems Pathology in Prostate Cancer | 2022-11-01 |
| BCBS Massachusetts | Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization | 2022-11-01 |
| BCBS Massachusetts | Ultrasonographic Evaluation of Skin Lesions | 2022-11-01 |
| BCBS Massachusetts | Ultrasound for the Evaluation of Paranasal Sinuses | 2022-11-01 |
| BCBS Massachusetts | Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral | 2022-11-01 |
| BCBS Massachusetts | Optical Coherence Tomography for Imaging of Coronary Arteries | 2022-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Erenumab-aooe | 2022-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Inebilizumab-cdon | 2022-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Selective Dorsal Rhizotomy in CP | 2022-11-01 |
| Meridian Illinois Medicaid Clinical | Filgrastim (Neupogen), Filgrastim-sndz (Zarxio), Tbo- | 2022-11-01 |