KENOSHA CHARGE 10004543 CAR SEAT TEST EACH ADDL 30 MIN Insurance and Self Pay Discounts 410 94781 $130.00
CAR SEAT TEST EACH ADDL 30 MIN
Rev 410
CPT 94781
Aurora KENOSHA
CHARGE
10004543
CAR SEAT TEST EACH ADDL 30 MIN
Rev 410
CPT 94781
NDC NA
Fee $130.00
Self-Pay $120.51
Insurance
Minimum $65.00
Maximum $130.00
Aetna W $98.19
Aetna PPO $108.42
Anthem Blue Priority $110.63
Anthem Blue Preferred $110.63
Anthem PPO $110.50
Aurora Caregiver $114.64
Centivo $120.70
Cigna GPPO $130.00
Cigna PPO $109.97
Common Ground ETF Network $115.17
Common Ground Exchange Envision $115.17
Common Ground Group Envision $115.17
Everpointe Elite $111.35
Health EOS Plus $79.30
Health EOS PPO $104.00
HealthPartners ETF $109.59
HealthPartners Robin Focused $122.30
HealthPartners Broad $97.50
HPS $124.30
HST $126.08
Humana HPN $124.36
Humana HMO $124.36
Humana PPO $109.97
Molina Exchange $117.69
Quartz One $109.75
Quartz Group $117.31
Trilogy $127.03
UHC Individual Exchange $119.07
UHC Charter $120.46
UHC Nexus $120.46
UHC HMO $124.55
UHC PPO $109.98
WPS Aurora Featured Network $114.48
WPS Arise $120.51
WPS Statewide $120.51