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The bill for an out of network service is 25000 In network deductible 500 In network coinsurance 80% Out of Pocket Maximum 10000 Out of
The bill for an out of network service is 25000
In network deductible 500
In network coinsurance 80%
Out of Pocket Maximum 10000
Out of network deductible 1000
Out of network coinsurance 60%
Out of pocket maximum 20000
UCR 80%
What is the amount the PLAN WILL pay? Enter as whole number with no decimals and no commas.
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