| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Shoulder Surgery: Labral Repair | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Hip Surgery: Synovectomy | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Knee Surgery: Abrasion Arthroplasty/Microfracturing/Subchondral Drilling | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Hip Surgery: Open or Arthroscopic | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Shoulder Surgery: Shoulder Instability and/or Laxity | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Spinal Cord and Dorsal Root Ganglion Stimulation | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Hip Surgery: Femoroacetabular Impingement | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Spinal Decompression, Lumbar | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Shoulder Surgery: Biceps Tenodesis | 2026-05-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Obinutuzumab (Gazyva) | 2026-05-01 |