PDF 2019 Copayment Rates
2019 Copayment Rates Effective date June 6, 2019. Outpatient Services * Basic Care Services $15 / visit. services provided by a primary care clinician. Specialty Care Services $50 / visit. services provided by a clinical specialist such as surgeon, radiologist, audiologist, optometrist, cardiologist, and specialty tests such as magnetic ... ................
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