MOUNT PLEASANT CHARGE 10005134 EXHALED NITRIC OXIDE MEASUREMENT Insurance and Self Pay Discounts 460 95012 $185.00

Aurora MOUNT PLEASANT
CHARGE
10005134
EXHALED NITRIC OXIDE MEASUREMENT
Rev 460
CPT 95012
NDC NA

Fee $185.00

Self-Pay $117.00

Insurance

Minimum $92.50
Maximum $157.25
Aetna W $94.93
Aetna PPO $154.29
Anthem Blue Priority $106.95
Anthem Blue Preferred $106.95
Anthem PPO $157.25
Aurora Caregiver $106.92
Centivo $130.40
Cigna GPPO $110.58
Cigna PPO $156.50
Common Ground ETF Network $106.16
Common Ground Exchange Envision $106.16
Common Ground Group Envision $106.16
Everpointe Elite $89.67
Health EOS Plus $112.85
Health EOS PPO $148.00
HealthPartners ETF $107.64
HealthPartners Robin Focused $125.81
HealthPartners Broad $138.75
HPS $116.99
HST $90.69
Humana HPN $117.82
Humana HMO $117.82
Humana PPO $156.50
Molina Exchange $94.70
Quartz One $89.59
Quartz Group $107.00
Trilogy $124.35
UHC Individual Exchange $70.37
UHC Charter $71.19
UHC Nexus $71.19
UHC HMO $77.43
UHC PPO $156.51
WPS Aurora Featured Network $111.15
WPS Arise $117.00
WPS Statewide $117.00