PPO Premier |
Premier PPO 100%/80%/50%/0% $1000 Low (MAC)
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Premier PPO 100%/80%/50%/0% $1000 Low (UCR)
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Premier PPO 100%/80%/50%/50% $1000 Low (MAC)
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Premier PPO 100%/80%/50%/50% $1000 Low (UCR)
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Premier PPO 100%/80%/50%/0% $1000 (MAC)
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Premier PPO 100%/80%/50%/50% $1000 (UCR)
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Premier PPO 100%/80%/50%/50% $1000 (MAC)
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Premier PPO 100%/80%/50%/50% $1000 (UCR)
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Premier PPO 100%/80%/50%/0% $1500 (MAC)
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Premier PPO 100%/80%/50%/0% $1500 (UCR)
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Premier PPO 100%/80%/50%/50% $1500 (MAC)
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Premier PPO 100%/80%/50%/50% $1500 (UCR)
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Premier PPO 100%/80%/50%/50% $2000 (MAC)
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Premier PPO 100%/80%/50%/50% $2000 (UCR)
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Premier PPO 100%/80%/50%/50% $2500(MAC)
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Premier PPO 100%/80%/50%/50% $2500(UCR)
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Premier PPO 100%/80%/50%/50% $3000 (MAC)
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Premier PPO 100%/80%/50%/50% $3000 (UCR)
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