Member for 7 years 1 month Submitted by Site Factory admin on Fri, 10/20/2023 - 18:46 Covered Service Text 301 279 280 11757 282 284 12197 286 Plan ID 10068 Plan Name Preferred Blue PPO 80 with Copay Product Type Medical Service Benefit Category Id 46 Service Benefit Category Name Prosthetic Devices