| Aetna | Optical Coherence Tomography of the Head and Neck | 2025-12-30 |
| Aetna | Chiari Malformation Decompression Surgery | 2025-12-30 |
| Aetna | Ibalizumab-uiyk (Trogarzo) | 2025-12-30 |
| Aetna | Ketamine for the Treatment of Depression and Other Selected Indications | 2025-12-30 |
| Aetna | Bupivacaine Liposome (Exparel) | 2025-12-30 |
| Aetna | Extended-Release Buprenorphine Injectables | 2025-12-30 |
| Aetna | Nonstandard Laboratory Test Panels | 2025-12-29 |
| Aetna | Ambulatory Assist Devices: Walkers, Canes, and Crutches | 2025-12-29 |
| Aetna | Hematopoietic Cell Transplantation for Breast Cancer | 2025-12-29 |
| Aetna | Meniere's Disease and Related Disorders: Surgery | 2025-12-29 |