ST. LUKE’S CHARGE 10001760 CONSULT WITH SLIDE PREP Insurance and Self Pay Discounts 312 88323 $725.00

Aurora ST. LUKE’S
CHARGE
10001760
CONSULT WITH SLIDE PREP
Rev 312
CPT 88323
NDC NA

Fee $725.00

Self-Pay $333.50

Insurance

Minimum $362.50
Maximum $613.21
Aetna W $249.71
Aetna PPO $600.89
Anthem Blue Priority $258.92
Anthem Blue Preferred $258.92
Anthem PPO $613.21
Aurora Caregiver $281.60
Centivo $300.71
Cigna GPPO $456.14
Cigna PPO $611.13
Common Ground ETF Network $272.46
Common Ground Exchange Envision $272.46
Common Ground Group Envision $272.46
Everpointe Elite $256.59
Health EOS Plus $440.86
Health EOS PPO $576.96
HealthPartners ETF $311.39
HealthPartners Robin Focused $394.31
HealthPartners Broad $542.01
HPS $350.26
HST $334.27
Humana HPN $317.74
Humana HMO $317.74
Humana PPO $609.83
Molina Exchange $285.66
Quartz One $269.36
Quartz Group $301.04
Trilogy $377.66
UHC Individual Exchange $268.90
UHC Charter $268.90
UHC Nexus $268.90
UHC HMO $291.40
UHC PPO $609.91
WPS Aurora Featured Network $316.83
WPS Arise $333.50
WPS Statewide $333.50