Member for 7 years 5 months Submitted by Site Factory admin on Mon, 12/30/2024 - 14:20 Covered Service Text 126 128 12007 13254 130 12585 124 120 10165 12063 122 10084 10085 11958 Plan ID 10030 Plan Name HMO Blue New England Deductible Product Type Medical Service Benefit Category Id 25 Service Benefit Category Name Surgery as an Outpatient