The most telling is the “Work-in Fee”…
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That would be a prolapse I’ve never had one on a lizard but I’ve had some snakes done it before and you have to take it to a vet ASAP
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They already took it to a vet.
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Yeah saw that after posting thought it was a new thread lol
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I’d guess the “work in fee” is likely similar to an urgent care or emergency fee, often utilized when pets are squeezed in in between other scheduled appointments
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That’s a pretty reasonable cost for all that was done. (Just so that your mother-in-law knows.) Kudos to her for going to bat for her cham! 
I hope she healed well. Over the years, I’ve had several of my geckos get egg-bound. Most recently, my 18-year old gecko Mew, and she recovered well from surgery.
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She’s doing really well!! Very grumpy lil lady but very well. 
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