Member for 7 years 1 month Submitted by Site Factory admin on Fri, 10/20/2023 - 18:47 Covered Service Text 126 128 12007 130 12585 124 120 10165 12063 123 10084 10085 11958 Plan ID 10141 Plan Name Preferred Blue PPO Basic Copayment Product Type Medical Service Benefit Category Id 25 Service Benefit Category Name Surgery as an Outpatient
