This page is provided in accordance with the Transparency in Coverage Act and contains all required machine-readable files.
These files are built for automated systems—not for easy human browsing.
Please note: some files are extremely large and may take time to download—proceed with caution.
Files Last Updated: 04/30/2026
Boon Chapman
Table of Contents
002429EG
002949Z
001231A
Aetna In-network
Allowed Amount Out of network
001231D
Aetna In-network
Allowed Amount Out of network
001231E
Aetna In-network
Allowed Amount Out of network
002202A
Aetna In-network
Allowed Amount Out of network
002258A
Aetna In-network
Allowed Amount Out of network
002268A
Aetna In-network
Allowed Amount Out of network
002273A
Aetna In-network
Allowed Amount Out of network
002302A
Aetna In-network
Allowed Amount Out of network
002302B
Aetna In-network
Allowed Amount Out of network
002303A
Aetna In-network
Allowed Amount Out of network
002303B
Aetna In-network
Allowed Amount Out of network
002325A
Aetna In-network
Allowed Amount Out of network
002333A
Aetna In-network
Allowed Amount Out of network
002333B
Aetna In-network
Allowed Amount Out of network
002333D
Aetna In-network
Allowed Amount Out of network
002339C
Aetna In-network
Allowed Amount Out of network
002339D
Aetna In-network
Allowed Amount Out of network
002339E
Aetna In-network
Allowed Amount Out of network
002344A
Aetna In-network
Allowed Amount Out of network
002351A
Aetna In-network
Allowed Amount Out of network
002351B
Aetna In-network
Allowed Amount Out of network
002353A
Aetna In-network
Allowed Amount Out of network
002353B
Aetna In-network
Allowed Amount Out of network
002353C
Aetna In-network
Allowed Amount Out of network
002354A
Aetna In-network
Allowed Amount Out of network
002356A
Aetna In-network
Allowed Amount Out of network
002356B
Aetna In-network
Allowed Amount Out of network
002393A
Aetna In-network
Allowed Amount Out of network
002393B
Aetna In-network
Allowed Amount Out of network
002394A
PHCS In-network
Allowed Amount Out of network
002394B
PHCS In-network
Allowed Amount Out of network
002394C
PHCS In-network
Allowed Amount Out of network
002394D
PHCS In-network
Allowed Amount Out of network
002394E
PHCS In-network
Allowed Amount Out of network
002396A
Aetna In-network
Allowed Amount Out of network
002396B
Aetna In-network
Allowed Amount Out of network
002396C
Aetna In-network
Allowed Amount Out of network
002397A
Aetna In-network
Allowed Amount Out of network
002399A
Aetna In-network
Allowed Amount Out of network
002399B
Aetna In-network
Allowed Amount Out of network
002399C
Aetna In-network
Allowed Amount Out of network
002404A
Aetna In-network
Allowed Amount Out of network
002404B
Aetna In-network
Allowed Amount Out of network
002407A
Aetna In-network
Allowed Amount Out of network
002407C
Aetna In-network
Allowed Amount Out of network
002407D
Aetna In-network
Allowed Amount Out of network
002407E
Aetna In-network
Allowed Amount Out of network
002407F
Aetna In-network
Allowed Amount Out of network
002408A
Aetna In-network
Allowed Amount Out of network
002408B
Aetna In-network
Allowed Amount Out of network
002408C
Aetna In-network
Allowed Amount Out of network
002409A
Aetna In-network
Allowed Amount Out of network
002411A
Aetna In-network
Allowed Amount Out of network
002411B
Aetna In-network
Allowed Amount Out of network
002411C
Aetna In-network
Allowed Amount Out of network
002412A
Aetna In-network
Allowed Amount Out of network
002412B
Aetna In-network
Allowed Amount Out of network
002413A
Aetna In-network
Allowed Amount Out of network
002413B
Aetna In-network
Allowed Amount Out of network
002413C
Aetna In-network
Allowed Amount Out of network
002413D
Aetna In-network
Allowed Amount Out of network
002414A
Aetna In-network
Allowed Amount Out of network
002414B
Aetna In-network
Allowed Amount Out of network
002415A
Aetna In-network
Allowed Amount Out of network
002415B
Aetna In-network
Allowed Amount Out of network
002416A
Aetna In-network
Allowed Amount Out of network
002416B
Aetna In-network
Allowed Amount Out of network
002416C
Aetna In-network
Allowed Amount Out of network
002417A
Aetna In-network
Allowed Amount Out of network
002417B
Aetna In-network
Allowed Amount Out of network
002417C
Aetna In-network
Allowed Amount Out of network
002417D
Aetna In-network
Allowed Amount Out of network
002419A
Aetna In-network
Allowed Amount Out of network
002422A
Aetna In-network
Allowed Amount Out of network
002422B
Aetna In-network
Allowed Amount Out of network
002423A
Aetna In-network
Allowed Amount Out of network
002424A
Aetna In-network
Allowed Amount Out of network
002424B
Aetna In-network
Allowed Amount Out of network
002424C
Aetna In-network
Allowed Amount Out of network
002426A
Aetna In-network
Allowed Amount Out of network
002428A
Aetna In-network
Allowed Amount Out of network
002428B
Aetna In-network
Allowed Amount Out of network
002428C
Aetna In-network
Allowed Amount Out of network
002429A
Aetna In-network
Allowed Amount Out of network
002429B
Aetna In-network
Allowed Amount Out of network
002429C
Aetna In-network
Allowed Amount Out of network
002429D
Aetna In-network
Allowed Amount Out of network
002429E
Aetna In-network
Allowed Amount Out of network
002429F
Aetna In-network
Allowed Amount Out of network
002429G
Aetna In-network
Allowed Amount Out of network
002429H
Aetna In-network
Allowed Amount Out of network
002430A
Cigna In-network
Allowed Amount Out of network
002430B
Cigna In-network
Allowed Amount Out of network
002432A
Cigna In-network
Allowed Amount Out of network
002432B
Cigna In-network
Allowed Amount Out of network
002437A
Aetna In-network
Allowed Amount Out of network
002437B
Aetna In-network
Allowed Amount Out of network
002437C
Aetna In-network
Allowed Amount Out of network
002438A
Aetna In-network
Allowed Amount Out of network
002438B
Aetna In-network
Allowed Amount Out of network
002438C
Aetna In-network
Allowed Amount Out of network
002439A
Cigna In-network
Allowed Amount Out of network
002439B
Cigna In-network
Allowed Amount Out of network
002451A
Aetna In-network
Allowed Amount Out of network
002451B
Aetna In-network
Allowed Amount Out of network
002452A
Aetna In-network
Allowed Amount Out of network
002452B
Aetna In-network
Allowed Amount Out of network
002452C
Aetna In-network
Allowed Amount Out of network
002452D
Aetna In-network
Allowed Amount Out of network
002453A
Aetna In-network
Allowed Amount Out of network
002453B
Aetna In-network
Allowed Amount Out of network
002454A
Aetna In-network
Allowed Amount Out of network
002454B
Aetna In-network
Allowed Amount Out of network
002455A
Aetna In-network
Allowed Amount Out of network
002455B
Aetna In-network
Allowed Amount Out of network
002455C
Aetna In-network
Allowed Amount Out of network
002456A
Cigna In-network
Allowed Amount Out of network
002456B
Cigna In-network
Allowed Amount Out of network
002457A
Cigna In-network
Allowed Amount Out of network
002457B
Cigna In-network
Allowed Amount Out of network
002457C
Cigna In-network
Allowed Amount Out of network
002458A
Aetna In-network
Allowed Amount Out of network
002458B
Aetna In-network
Allowed Amount Out of network
002458C
Aetna In-network
Allowed Amount Out of network
002458D
Aetna In-network
Allowed Amount Out of network
002458E
Aetna In-network
Allowed Amount Out of network
002459A
Aetna In-network
Allowed Amount Out of network
002459B
Aetna In-network
Allowed Amount Out of network
002459C
Aetna In-network
Allowed Amount Out of network
002460A
Aetna In-network
Allowed Amount Out of network
002460B
Aetna In-network
Allowed Amount Out of network
002461A
Aetna In-network
Allowed Amount Out of network
002461B
Aetna In-network
Allowed Amount Out of network
002461C
Aetna In-network
Allowed Amount Out of network
002461D
Aetna In-network
Allowed Amount Out of network
002461E
Aetna In-network
Allowed Amount Out of network
002462A
Aetna In-network
Allowed Amount Out of network
002462B
Aetna In-network
Allowed Amount Out of network
002462C
Aetna In-network
Allowed Amount Out of network
002463A
Cigna In-network
Allowed Amount Out of network
002463B
Cigna In-network
Allowed Amount Out of network
002463C
Cigna In-network
Allowed Amount Out of network
002464A
Aetna In-network
Allowed Amount Out of network
002464B
Aetna In-network
Allowed Amount Out of network
002465A
Cigna In-network
Allowed Amount Out of network
002465B
Cigna In-network
Allowed Amount Out of network
002465C
Cigna In-network
Allowed Amount Out of network
002466A
Cigna In-network
Allowed Amount Out of network
002466B
Cigna In-network
Allowed Amount Out of network
002468A
Aetna In-network
Allowed Amount Out of network
002468B
Aetna In-network
Allowed Amount Out of network
002683A
Cigna In-network
Allowed Amount Out of network
002683C
Cigna In-network
Allowed Amount Out of network
002683D
Cigna In-network
Allowed Amount Out of network
002752A
Aetna In-network
Allowed Amount Out of network
002935D
Aetna In-network
Allowed Amount Out of network
002949A
Aetna In-network
Allowed Amount Out of network
002949B
Aetna In-network
Allowed Amount Out of network
002995A
Aetna In-network
Allowed Amount Out of network
002995B
Aetna In-network
Allowed Amount Out of network
410B107
First Health In-network
Allowed Amount Out of network
410B108
First Health In-network
Allowed Amount Out of network
410B130
First Health In-network
Allowed Amount Out of network
410B133
First Health In-network
Allowed Amount Out of network
410A142
First Health In-network
Allowed Amount Out of network
410A153
First Health In-network
Allowed Amount Out of network
410A161
First Health In-network
Allowed Amount Out of network
410A183
First Health In-network
Allowed Amount Out of network
4.1E+186
First Health In-network
Allowed Amount Out of network
410B187
First Health In-network
Allowed Amount Out of network
4.1E+192
First Health In-network
Allowed Amount Out of network
410B190
First Health In-network
Allowed Amount Out of network
410A200
First Health In-network
Allowed Amount Out of network
410A201
First Health In-network
Allowed Amount Out of network
410A205
First Health In-network
Allowed Amount Out of network
410A208
First Health In-network
Allowed Amount Out of network
410B210
First Health In-network
Allowed Amount Out of network
4.1E+213
First Health In-network
Allowed Amount Out of network
410A211
First Health In-network
Allowed Amount Out of network
410B211
First Health In-network
Allowed Amount Out of network
410B213
First Health In-network
Allowed Amount Out of network
410B214
First Health In-network
Allowed Amount Out of network
420A100
First Health In-network
Allowed Amount Out of network
507TRDC
Aetna In-network
Allowed Amount Out of network
507HDHF
Aetna In-network
Allowed Amount Out of network
507TRDC
Aetna In-network
Allowed Amount Out of network
507TRDC
Aetna In-network
Allowed Amount Out of network
507HDHD
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507HDHF
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507TRDC
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507TRDD
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507HDHD
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507TRDD
Aetna In-network
Allowed Amount Out of network
507TRDB
Aetna In-network
Allowed Amount Out of network
507TRDC
Aetna In-network
Allowed Amount Out of network
508305A
Aetna In-network
Allowed Amount Out of network
508305B
Aetna In-network
Allowed Amount Out of network
508305C
Aetna In-network
Allowed Amount Out of network
508305D
Aetna In-network
Allowed Amount Out of network
508305E
Aetna In-network
Allowed Amount Out of network
508305F
Aetna In-network
Allowed Amount Out of network
508305G
Aetna In-network
Allowed Amount Out of network
508305H
Aetna In-network
Allowed Amount Out of network
508305I
Aetna In-network
Allowed Amount Out of network
508305J
Aetna In-network
Allowed Amount Out of network
508305K
Aetna In-network
Allowed Amount Out of network
508305L
Aetna In-network
Allowed Amount Out of network
508305M
Aetna In-network
Allowed Amount Out of network
508305N
Aetna In-network
Allowed Amount Out of network
508305O
Aetna In-network
Allowed Amount Out of network
508305P
Aetna In-network
Allowed Amount Out of network
508305Q
Aetna In-network
Allowed Amount Out of network
508305R
Aetna In-network
Allowed Amount Out of network
508305S
Aetna In-network
Allowed Amount Out of network
508305T
Aetna In-network
Allowed Amount Out of network
508305U
Aetna In-network
Allowed Amount Out of network
508305V
Aetna In-network
Allowed Amount Out of network
508305W
Aetna In-network
Allowed Amount Out of network
508330A
Aetna In-network
Allowed Amount Out of network
510100A
Aetna In-network
Allowed Amount Out of network
650102A
Aetna In-network
Allowed Amount Out of network
650102B
Aetna In-network
Allowed Amount Out of network
650104A
Aetna In-network
Allowed Amount Out of network
650104B
Aetna In-network
Allowed Amount Out of network
650105B
Aetna In-network
Allowed Amount Out of network
650108A
Aetna In-network
Allowed Amount Out of network
650108B
Aetna In-network
Allowed Amount Out of network
650110A
Aetna In-network
Allowed Amount Out of network
650110R
Aetna In-network
Allowed Amount Out of network
650111A
Aetna In-network
Allowed Amount Out of network
650111R
650112A
Aetna In-network
PHCS In-network
Allowed Amount Out of network
650113A
Aetna In-network
Allowed Amount Out of network
650113B
Aetna In-network
Allowed Amount Out of network
650115A
Aetna In-network
Allowed Amount Out of network
650116A
Aetna In-network
Allowed Amount Out of network
650116C
Aetna In-network
Allowed Amount Out of network
650116D
Aetna In-network
Allowed Amount Out of network
650116E
Aetna In-network
Allowed Amount Out of network
650117A
Aetna In-network
Allowed Amount Out of network
650120A
Aetna In-network
Allowed Amount Out of network
650121A
Aetna In-network
Allowed Amount Out of network
650122A
Aetna In-network
Allowed Amount Out of network
650122B
Aetna In-network
Allowed Amount Out of network
650122C
Aetna In-network
Allowed Amount Out of network
650122D
Aetna In-network
Allowed Amount Out of network
650123A
Aetna In-network
Allowed Amount Out of network
650123B
Aetna In-network
Allowed Amount Out of network
650126A
Aetna In-network
PHCS In-network
Allowed Amount Out of network
650126B
Aetna In-network
PHCS In-network
Allowed Amount Out of network
650127A
Aetna In-network
Allowed Amount Out of network
650127B
Aetna In-network
Allowed Amount Out of network
650128A
Aetna In-network
Allowed Amount Out of network
650129A
Aetna In-network
Allowed Amount Out of network
650129B
Aetna In-network
Allowed Amount Out of network
650130A
Aetna In-network
Allowed Amount Out of network
650130B
Aetna In-network
Allowed Amount Out of network
650131A
Aetna In-network
Allowed Amount Out of network
650133A
Aetna In-network
Allowed Amount Out of network
650133B
Aetna In-network
Allowed Amount Out of network
650134A
Aetna In-network
PHCS In-network
Allowed Amount Out of network
650134B
Aetna In-network
PHCS In-network
Allowed Amount Out of network
650134C
Aetna In-network
PHCS In-network
Allowed Amount Out of network
650135A
Aetna In-network
Allowed Amount Out of network
650136A
Aetna In-network
Allowed Amount Out of network
650139A
Aetna In-network
Allowed Amount Out of network
650139B
Aetna In-network
Allowed Amount Out of network
650139C
Aetna In-network
Allowed Amount Out of network
650140A
Aetna In-network
Allowed Amount Out of network
650140B
Aetna In-network
Allowed Amount Out of network
650140C
Aetna In-network
Allowed Amount Out of network
650140D
Aetna In-network
Allowed Amount Out of network
650141A
Aetna In-network
Allowed Amount Out of network
650142A
Aetna In-network
Allowed Amount Out of network
650143A
Aetna In-network
Allowed Amount Out of network
650143B
Aetna In-network
Allowed Amount Out of network
650144A
Aetna In-network
Allowed Amount Out of network
650145A
Aetna In-network
Allowed Amount Out of network
650145B
Aetna In-network
Allowed Amount Out of network
651101A
Aetna In-network
Allowed Amount Out of network
651101B
Aetna In-network
Allowed Amount Out of network
651101C
Aetna In-network
Allowed Amount Out of network
651510A
Aetna In-network
Allowed Amount Out of network
651514A
Aetna In-network
Allowed Amount Out of network
651534A
Aetna In-network
Allowed Amount Out of network
651534B
Aetna In-network
Allowed Amount Out of network
651536A
Aetna In-network
Allowed Amount Out of network
651539A
Aetna In-network
Allowed Amount Out of network
651539B
Aetna In-network
Allowed Amount Out of network
651539C
Aetna In-network
Allowed Amount Out of network
651554A
Aetna In-network
Allowed Amount Out of network
651554B
Aetna In-network
Allowed Amount Out of network
651558A
Aetna In-network
Allowed Amount Out of network
651558B
Aetna In-network
Allowed Amount Out of network
651575A
Aetna In-network
Allowed Amount Out of network
651575B
Aetna In-network
Allowed Amount Out of network
651575C
Aetna In-network
Allowed Amount Out of network
651575D
Aetna In-network
Allowed Amount Out of network
651579A
Aetna In-network
Allowed Amount Out of network
651582A
Aetna In-network
PHCS In-network
Allowed Amount Out of network
651582B
Aetna In-network
PHCS In-network
Allowed Amount Out of network
651588A
Aetna In-network
Allowed Amount Out of network
651588B
Aetna In-network
Allowed Amount Out of network
651588C
Aetna In-network
Allowed Amount Out of network
651591A
Aetna In-network
Allowed Amount Out of network
651592A
Aetna In-network
Allowed Amount Out of network
651592B
Aetna In-network
Allowed Amount Out of network
651592C
Aetna In-network
Allowed Amount Out of network
651595A
Aetna In-network
PHCS In-network
Allowed Amount Out of network
651595B
Aetna In-network
PHCS In-network
Allowed Amount Out of network
651595C
Aetna In-network
PHCS In-network
Allowed Amount Out of network
651596A
Aetna In-network
PHCS In-network
Allowed Amount Out of network
652011P
Aetna In-network
Allowed Amount Out of network
653100A
Aetna In-network
Allowed Amount Out of network