ST. LUKE’S CHARGE 10007032 DEXA BONE STR FX RISK USING DXR BMD HAND 1V Insurance and Self Pay Discounts 320 0750T $715.00

Aurora ST. LUKE’S
CHARGE
10007032
DEXA BONE STR FX RISK USING DXR BMD HAND 1V
Rev 320
CPT 0750T
NDC NA

Fee $715.00

Self-Pay $306.80

Insurance

Minimum $357.50
Maximum $600.60
Aetna W $236.45
Aetna PPO $587.78
Anthem Blue Priority $250.87
Anthem Blue Preferred $250.87
Anthem PPO $600.60
Aurora Caregiver $262.76
Centivo $284.88
Cigna GPPO $409.32
Cigna PPO $599.75
Common Ground ETF Network $260.85
Common Ground Exchange Envision $260.85
Common Ground Group Envision $260.85
Everpointe Elite $248.97
Health EOS Plus $432.88
Health EOS PPO $564.85
HealthPartners ETF $262.34
HealthPartners Robin Focused $328.93
HealthPartners Broad $532.17
HPS $335.67
HST $311.33
Humana HPN $316.40
Humana HMO $316.40
Humana PPO $596.42
Molina Exchange $272.33
Quartz One $247.45
Quartz Group $276.05
Trilogy $346.16
UHC Individual Exchange $288.52
UHC Charter $291.88
UHC Nexus $291.88
UHC HMO $315.88
UHC PPO $596.80
WPS Aurora Featured Network $291.46
WPS Arise $306.80
WPS Statewide $306.80