| Aetna | Scrotal Ultrasonography | 2025-11-25 |
| Aetna | Artificial Retina and Artificial Iris | 2025-11-25 |
| Aetna | Rebreathing of Inert Gas for Measurement of Cardiac Output and Validation of Intra-Cardiac Shunt | 2025-11-25 |
| Aetna | Analysis of Volatile Organic Compounds | 2025-11-25 |
| Aetna | Rotavirus Vaccine | 2025-11-25 |
| Aetna | Human Papillomavirus (HPV) Vaccine | 2025-11-25 |
| Aetna | Barrett's Esophagus | 2025-11-25 |
| HealthPartners | Waterjet ablation (aquablation) for benign prostatic | 2025-11-25 |
| HealthPartners | Weight loss surgery | 2025-11-25 |
| BCBS Premera WA AK Clinical | Wheelchairs (Manual or Motorized) | 2025-11-25 |