| Aetna | Palivizumab (Synagis) | 2025-11-24 |
| Aetna | Broth Culture Testing for Interstitial Cystitis | 2025-11-24 |
| Aetna | Rhinometry and Rhinomanometry | 2025-11-24 |
| Aetna | Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow | 2025-11-24 |
| Aetna | Indirect Measurement of Left Ventricular Filling Pressure (LVFP) | 2025-11-24 |
| Aetna | Body Surface Potential Mapping | 2025-11-24 |
| Aetna | Anecortave Acetate (Retaane) | 2025-11-24 |
| Aetna | Metatarsal Phalangeal Joint Replacement | 2025-11-24 |
| Aetna | Nesiritide (Natrecor) | 2025-11-24 |
| Cigna | Behavioral Health Coaching and Peer Support Services - (A015) | 2025-11-24 |