KENOSHA CHARGE 10002803 DRONABINOL 2.5 MG PO CAPS Insurance and Self Pay Discounts 250 Q0167 17478-761-06 $31.59

Aurora KENOSHA
CHARGE
10002803
DRONABINOL 2.5 MG PO CAPS
Rev 250
CPT Q0167
NDC 17478-761-06

Fee $31.59

Self-Pay $18.64

Insurance

Minimum $15.80
Maximum $26.86
Aetna W $14.74
Aetna PPO $26.35
Anthem Blue Priority $15.28
Anthem Blue Preferred $15.28
Anthem PPO $26.86
Aurora Caregiver $16.47
Centivo $17.50
Cigna GPPO $22.86
Cigna PPO $26.73
Common Ground ETF Network $17.33
Common Ground Exchange Envision $17.33
Common Ground Group Envision $17.33
Everpointe Elite $16.01
Health EOS Plus $19.28
Health EOS PPO $25.27
HealthPartners ETF $15.01
HealthPartners Robin Focused $17.54
HealthPartners Broad $23.70
HPS $17.46
HST $19.34
Humana HPN $17.49
Humana HMO $17.49
Humana PPO $26.73
Molina Exchange $18.19
Quartz One $14.74
Quartz Group $16.38
Trilogy $19.10
UHC Individual Exchange $18.85
UHC Charter $18.85
UHC Nexus $18.85
UHC HMO $20.97
UHC PPO $26.73
WPS Aurora Featured Network $17.71
WPS Arise $18.64
WPS Statewide $18.64