ST. LUKE’S CHARGE 10002465 VOCATIONAL REHAB Insurance and Self Pay Discounts 420 97799 $290.00

Aurora ST. LUKE’S
CHARGE
10002465
VOCATIONAL REHAB
Rev 420
CPT 97799
NDC NA

Fee $290.00

Self-Pay $171.11

Insurance

Minimum $145.00
Maximum $245.10
Aetna W $120.91
Aetna PPO $240.07
Anthem Blue Priority $138.50
Anthem Blue Preferred $138.50
Anthem PPO $245.10
Aurora Caregiver $137.83
Centivo $140.77
Cigna GPPO $167.55
Cigna PPO $244.29
Common Ground ETF Network $144.00
Common Ground Exchange Envision $144.00
Common Ground Group Envision $144.00
Everpointe Elite $129.47
Health EOS Plus $176.24
Health EOS PPO $230.57
HealthPartners ETF $139.56
HealthPartners Robin Focused $175.24
HealthPartners Broad $216.67
HPS $166.09
HST $158.09
Humana HPN $158.12
Humana HMO $158.12
Humana PPO $243.54
Molina Exchange $133.97
Quartz One $132.04
Quartz Group $147.00
Trilogy $165.11
UHC Individual Exchange $145.60
UHC Charter $147.29
UHC Nexus $147.29
UHC HMO $160.23
UHC PPO $243.72
WPS Aurora Featured Network $162.55
WPS Arise $171.11
WPS Statewide $171.11