ST. LUKE’S CHARGE 10001858 HEARING AID EVAL-MONAURAL Insurance and Self Pay Discounts 470 92590 $135.00

Aurora ST. LUKE’S
CHARGE
10001858
HEARING AID EVAL-MONAURAL
Rev 470
CPT 92590
NDC NA

Fee $135.00

Self-Pay $70.81

Insurance

Minimum $67.50
Maximum $113.52
Aetna W $54.79
Aetna PPO $110.68
Anthem Blue Priority $52.64
Anthem Blue Preferred $52.64
Anthem PPO $113.52
Aurora Caregiver $52.79
Centivo $55.84
Cigna GPPO $78.91
Cigna PPO $112.90
Common Ground ETF Network $53.31
Common Ground Exchange Envision $53.31
Common Ground Group Envision $53.31
Everpointe Elite $50.66
Health EOS Plus $81.51
Health EOS PPO $106.37
HealthPartners ETF $53.58
HealthPartners Robin Focused $66.46
HealthPartners Broad $100.18
HPS $62.48
HST $68.65
Humana HPN $56.93
Humana HMO $56.93
Humana PPO $112.31
Molina Exchange $59.39
Quartz One $58.93
Quartz Group $67.42
Trilogy $75.05
UHC Individual Exchange $51.42
UHC Charter $52.02
UHC Nexus $52.02
UHC HMO $55.97
UHC PPO $112.36
WPS Aurora Featured Network $67.27
WPS Arise $70.81
WPS Statewide $70.81