Member for 8 years Submitted by Site Factory admin on Thu, 08/21/2025 - 00:53 Covered Service Text 126 128 12007 13254 130 12585 124 120 10165 12063 123 10084 10085 Plan ID 10068 Plan Name Preferred Blue PPO 80 with Copay Product Type Medical Service Benefit Category Id 25 Service Benefit Category Name Surgery as an Outpatient
