| Anthem Blue Cross | Penile Circumcision | 2025-10-01 |
| Anthem Blue Cross | Therapeutic Apheresis | 2025-10-01 |
| Anthem Blue Cross | Inhaled Nitric Oxide | 2025-10-01 |
| Anthem Blue Cross | Gene Therapy for Aromatic L-Amino Acid Decarboxylase Deficiency | 2025-10-01 |
| Anthem Blue Cross | PET/MRI | 2025-10-01 |
| Anthem Blue Cross | Hyperbaric Oxygen Therapy (Systemic/Topical) | 2025-10-01 |
| Anthem Blue Cross | Site of Care: Specialty Pharmaceuticals | 2025-10-01 |
| Anthem Blue Cross | Allogeneic Bone Marrow-Derived Mesenchymal Stromal Cell Therapy | 2025-10-01 |
| Anthem Blue Cross | Mechanized Spinal Distraction Therapy | 2025-10-01 |
| Anthem Blue Cross | Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and Lumbar | 2025-10-01 |