| Sentara Health Plans | Wearable External Cardioverter Defibrillators, DME 24 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Applied Behavioral Analysis, BH 37 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Multisystemic Therapy, BH 35 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Level of Care Guidance for Observation (OBS) - Commercial | 2025-10-01 |
| Sentara Health Plans | Level of Care Guidance for Observation (OBS) - Medicaid | 2025-10-01 |
| Sentara Health Plans | Muscle Pain Detector, Medical 247 - Commercial | 2025-10-01 |
| Sentara Health Plans | Muscle Pain Detector, Medical 247 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Coccygectomy, Surgical 114 - Medicaid | 2025-10-01 |
| Sentara Health Plans | Coccygectomy, Surgical 114 - Medicare | 2025-10-01 |
| Sentara Health Plans | Dermatologic Conditions, Surgical 09 - Commercial | 2025-10-01 |