Plan details: 036593 190 TRAD CMM WITH MAJOR MED_XOT (55)

Plan details for 036593 190 TRAD CMM WITH MAJOR MED_XOT (ID: 376003273)
Appears in: 2026-09
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2026-09-01IN_NETWORK2026-09-14_Blue-Cross-and-Blue-Shield...100 Bytes
2026-09-01ALLOWED_AMOUNT2026-09-21_Blue-Cross-and-Blue-Shield...100 Bytes
2026-09-01IN_NETWORK2026-10_020_02E0_in-network-rates200 Bytes
2026-09-01IN_NETWORK2026-10_040_05C0_in-network-rates900 Bytes
2026-09-01IN_NETWORK2026-10_042_04B0_in-network-rates100 Bytes
2026-09-01IN_NETWORK2026-10_051_06E0_in-network-rates900 Bytes
2026-09-01IN_NETWORK2026-10_062_07D0_in-network-rates200 Bytes
2026-09-01IN_NETWORK2026-10_070_09D0_in-network-rates200 Bytes
2026-09-01IN_NETWORK2026-10_102_11D0_in-network-rates700 Bytes
2026-09-01IN_NETWORK2026-10_110_14D0_in-network-rates100 Bytes
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