| BCBS Highmark NY and West NY | Rozanolixizumab-noli (Rystiggo) | 2026-01-01 |
| BCBS Highmark NY and West NY | Intravesical Mitomycin (Zusduri) | 2026-01-01 |
| BCBS Highmark NY and West NY | Elivaldogene autotemcel (Skysona) | 2026-01-01 |
| BCBS Highmark NY and West NY | Gemcitabine | 2026-01-01 |
| BCBS Highmark NY and West NY | Telisotuzumab vedotin-tllv (Emrelis) | 2026-01-01 |
| BCBS Highmark NY and West NY | Carboplatin (Paraplatin) | 2026-01-01 |
| BCBS Highmark NY and West NY | Immune Globulin Therapy | 2026-01-01 |
| BCBS Highmark Delaware | Manipulation Services | 2026-01-01 |
| BCBS Highmark Delaware | Tc-99m PYP Scintigraphy | 2026-01-01 |
| BCBS Highmark Delaware | Computed Tomography Perfusion Imaging of the Brain | 2026-01-01 |