ST. LUKE’S CHARGE 10001138 TROPONIN, QUANTITATIVE Insurance and Self Pay Discounts 301 84484 $170.00

Aurora ST. LUKE’S
CHARGE
10001138
TROPONIN, QUANTITATIVE
Rev 301
CPT 84484
NDC NA

Fee $170.00

Self-Pay $90.58

Insurance

Minimum $85.00
Maximum $144.29
Aetna W $69.81
Aetna PPO $141.38
Anthem Blue Priority $75.92
Anthem Blue Preferred $75.92
Anthem PPO $144.29
Aurora Caregiver $80.42
Centivo $79.22
Cigna GPPO $92.12
Cigna PPO $143.65
Common Ground ETF Network $74.31
Common Ground Exchange Envision $74.31
Common Ground Group Envision $74.31
Everpointe Elite $72.52
Health EOS Plus $103.61
Health EOS PPO $135.79
HealthPartners ETF $74.68
HealthPartners Robin Focused $93.06
HealthPartners Broad $127.38
HPS $91.10
HST $91.78
Humana HPN $84.96
Humana HMO $84.96
Humana PPO $143.38
Molina Exchange $76.19
Quartz One $74.55
Quartz Group $82.73
Trilogy $95.43
UHC Individual Exchange $74.50
UHC Charter $74.50
UHC Nexus $74.50
UHC HMO $81.21
UHC PPO $143.58
WPS Aurora Featured Network $86.05
WPS Arise $90.58
WPS Statewide $90.58