ST. LUKE’S CHARGE 10002148 EXCISION SKIN OF NAIL FOLD Insurance and Self Pay Discounts 516 11765 $475.00

Aurora ST. LUKE’S
CHARGE
10002148
EXCISION SKIN OF NAIL FOLD
Rev 516
CPT 11765
NDC NA

Fee $475.00

Self-Pay $228.95

Insurance

Minimum $237.50
Maximum $403.75
Aetna W $179.87
Aetna PPO $396.14
Anthem Blue Priority $199.45
Anthem Blue Preferred $199.45
Anthem PPO $403.75
Aurora Caregiver $187.38
Centivo $197.76
Cigna GPPO $366.96
Cigna PPO $401.81
Common Ground ETF Network $183.68
Common Ground Exchange Envision $183.68
Common Ground Group Envision $183.68
Everpointe Elite $186.10
Health EOS Plus $289.75
Health EOS PPO $380.00
HealthPartners ETF $166.99
HealthPartners Robin Focused $213.27
HealthPartners Broad $356.25
HPS $223.27
HST $216.73
Humana HPN $396.47
Humana HMO $396.47
Humana PPO $401.81
Molina Exchange $200.49
Quartz One $183.42
Quartz Group $200.90
Trilogy $263.07
UHC Individual Exchange $363.53
UHC Charter $367.76
UHC Nexus $367.76
UHC HMO $378.49
UHC PPO $401.85
WPS Aurora Featured Network $217.50
WPS Arise $228.95
WPS Statewide $228.95