| Molina Clinical Policy | Percutaneous Electrical Nerve Field Stimulation for Abdominal Pain | 2025-12-10 |
| Molina Clinical Policy | Percutaneous Image-Guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis | 2025-12-10 |
| Molina Clinical Policy | Proton and Neutron Beam Radiation Therapy Services | 2025-12-10 |
| Molina Clinical Policy | Sclerotherapy and Adhesive Therapy for Varicose Veins | 2025-12-10 |
| Molina Clinical Policy | Steerable Ureteroscopic Renal Evacuation | 2025-12-10 |
| HealthPartners | Proton beam radiation therapy | 2025-12-10 |
| Aetna | Transcatheter Pulmonary Valve Implantation | 2025-12-09 |
| Aetna | Internal Fixation of Rib Fracture | 2025-12-09 |
| Aetna | Home Hemoglobin Testing Devices | 2025-12-09 |
| Aetna | Hematopoietic Cell Transplantation for Primary Immunodeficiency Disorders | 2025-12-09 |