ST. LUKE’S CHARGE 10000903 PH BLOOD Insurance and Self Pay Discounts 301 82800 $100.00

Aurora ST. LUKE’S
CHARGE
10000903
PH BLOOD
Rev 301
CPT 82800
NDC NA

Fee $100.00

Self-Pay $52.56

Insurance

Minimum $50.00
Maximum $85.00
Aetna W $36.13
Aetna PPO $83.40
Anthem Blue Priority $40.44
Anthem Blue Preferred $40.44
Anthem PPO $85.00
Aurora Caregiver $42.48
Centivo $45.48
Cigna GPPO $34.26
Cigna PPO $84.59
Common Ground ETF Network $43.38
Common Ground Exchange Envision $43.38
Common Ground Group Envision $43.38
Everpointe Elite $42.42
Health EOS Plus $61.00
Health EOS PPO $80.00
HealthPartners ETF $39.44
HealthPartners Robin Focused $51.34
HealthPartners Broad $75.00
HPS $56.77
HST $48.47
Humana HPN $48.83
Humana HMO $48.83
Humana PPO $84.59
Molina Exchange $43.64
Quartz One $40.56
Quartz Group $44.75
Trilogy $60.22
UHC Individual Exchange $36.09
UHC Charter $36.09
UHC Nexus $36.09
UHC HMO $39.32
UHC PPO $84.60
WPS Aurora Featured Network $49.93
WPS Arise $52.56
WPS Statewide $52.56