| BCBS Highmark West Virginia | Foot Care Services | 2025-10-01 |
| BCBS Highmark West Virginia | Physical Medicine | 2025-10-01 |
| BCBS Highmark West Virginia | Chronic Wound Management | 2025-10-01 |
| BCBS Highmark West Virginia | Foot Orthotics for Conditions Other Than Diabetes | 2025-10-01 |
| BCBS Highmark West Virginia | Braces and Supports | 2025-10-01 |
| BCBS Highmark West Virginia | Respiratory Assist Devices | 2025-10-01 |
| BCBS Highmark West Virginia | Wheelchairs (WC) and Options/Accessories | 2025-10-01 |
| BCBS Highmark West Virginia | Surgery for Groin Pain in Athletes | 2025-10-01 |
| BCBS Highmark West Virginia | Fam-trastuzumab Deruxtecan-nxki (Enhertu) | 2025-10-01 |
| BCBS Highmark West Virginia | Lumasiran (Oxlumo) | 2025-10-01 |