| BCBS Premera WA AK Clinical | Hyperbaric Oxygen Therapy | 2025-12-22 |
| BCBS Premera WA AK Clinical | Total Artificial Hearts and Implantable Ventricular Assist | 2025-12-22 |
| BCBS Premera WA AK Clinical | Microwave Tumor Ablation | 2025-12-22 |
| BCBS Premera WA AK Clinical | Dynamic Spinal Visualization and Vertebral Motion | 2025-12-22 |
| BCBS Premera WA AK Clinical | 5.01.545 Pharmacologic Treatment of Benign Prostatic Hyperplasia | 2025-12-22 |
| BCBS Premera WA AK Clinical | 5.01.598 Pharmacologic Treatment to Reduce Serum Phosphorus | 2025-12-22 |
| BCBS Premera WA AK Clinical | Pharmacotherapy of Type 1 and Type 2 Diabetes Mellitus | 2025-12-22 |
| BCBS Premera WA AK Clinical | Chronic Hepatitis B Antiviral Therapy | 2025-12-22 |
| BCBS Premera WA AK Clinical | Percutaneous Revascularization Procedures for Lower | 2025-12-22 |
| BCBS Premera WA AK Clinical | 10.01.531 InterQual Criteria: Services Reviewed for Medical Necessity | 2025-12-22 |