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ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS · HC REM CATARACT W/IOL

$5,325.54

Source file dated 2026-03-24 · both

Source note: 100% of $8,069.00 in Billed Charges for Rev 360 Proc 66984 = $8,069.00. Percent of Charge CDM service is reimbursed at a line level and those calculations will not change from person to person.

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