ST. LUKE’S CHARGE 10001593 PINWORM EXAM Insurance and Self Pay Discounts 306 87172 $100.00

Aurora ST. LUKE’S
CHARGE
10001593
PINWORM EXAM
Rev 306
CPT 87172
NDC NA

Fee $100.00

Self-Pay $46.69

Insurance

Minimum $50.00
Maximum $83.75
Aetna W $36.72
Aetna PPO $81.84
Anthem Blue Priority $35.89
Anthem Blue Preferred $35.89
Anthem PPO $83.75
Aurora Caregiver $36.82
Centivo $39.44
Cigna GPPO $58.89
Cigna PPO $83.67
Common Ground ETF Network $38.61
Common Ground Exchange Envision $38.61
Common Ground Group Envision $38.61
Everpointe Elite $35.64
Health EOS Plus $60.41
Health EOS PPO $78.73
HealthPartners ETF $37.90
HealthPartners Robin Focused $46.38
HealthPartners Broad $74.26
HPS $45.38
HST $46.98
Humana HPN $39.81
Humana HMO $39.81
Humana PPO $83.05
Molina Exchange $39.87
Quartz One $39.28
Quartz Group $44.18
Trilogy $49.81
UHC Individual Exchange $37.28
UHC Charter $37.28
UHC Nexus $37.28
UHC HMO $40.08
UHC PPO $83.16
WPS Aurora Featured Network $44.36
WPS Arise $46.69
WPS Statewide $46.69