ST. LUKE’S CHARGE 10000987 IRON Insurance and Self Pay Discounts 301 83540 $130.00

Aurora ST. LUKE’S
CHARGE
10000987
IRON
Rev 301
CPT 83540
NDC NA

Fee $130.00

Self-Pay $43.08

Insurance

Minimum $65.00
Maximum $110.12
Aetna W $31.55
Aetna PPO $107.93
Anthem Blue Priority $24.95
Anthem Blue Preferred $24.95
Anthem PPO $110.12
Aurora Caregiver $25.07
Centivo $31.65
Cigna GPPO $77.86
Cigna PPO $109.70
Common Ground ETF Network $30.80
Common Ground Exchange Envision $30.80
Common Ground Group Envision $30.80
Everpointe Elite $27.90
Health EOS Plus $79.12
Health EOS PPO $103.62
HealthPartners ETF $33.61
HealthPartners Robin Focused $41.68
HealthPartners Broad $97.28
HPS $36.58
HST $40.13
Humana HPN $30.21
Humana HMO $30.21
Humana PPO $109.45
Molina Exchange $35.73
Quartz One $35.44
Quartz Group $39.93
Trilogy $44.93
UHC Individual Exchange $26.79
UHC Charter $26.79
UHC Nexus $26.79
UHC HMO $28.43
UHC PPO $109.55
WPS Aurora Featured Network $40.93
WPS Arise $43.08
WPS Statewide $43.08