Plan details: 55 $1500 Standardized Plan (L) XUV H010 DV (0)

Name: Blue Connect Copay (PCP Specialist Urgent Care) 75/55 $1500 Standardized Plan (L) XUV H010 DV — BCBS Louisiana negotiated rates
Creator: BCBS Louisiana
License: https://www.ecfr.gov/current/title-45/part-147/section-147.212#p-147.212(b)(2)

Plan details for Blue Connect Copay (PCP Specialist Urgent Care) 75/55 $1500 Standardized Plan (L) XUV H010 DV (ID: 19636LA0240021)

Date	Schema	Filename	# of Parts	# of Parts Available	Total source size
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