| Insurance Name | Procedure | Cost | Insurance Paid | % Paid | Out of Pocket |
|---|---|---|---|---|---|
| Blue Shield of CA | 99213 | $171 | $119.70 | 70% | $51.30 |
| Blue Shield of CA | 99213 | $171 | $119.70 | 70% | $51.30 |
| Anthem/BX PPO | 90836 | $209 | $146.30 | 70% | $62.70 |
| Anthem/BX PPO | 90836 | $209 | $146.30 | 70% | $62.70 |
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