ST. LUKE’S CHARGE 10001156 C-PEPTIDE Insurance and Self Pay Discounts 301 84681 $170.00

Aurora ST. LUKE’S
CHARGE
10001156
C-PEPTIDE
Rev 301
CPT 84681
NDC NA

Fee $170.00

Self-Pay $74.55

Insurance

Minimum $85.00
Maximum $144.50
Aetna W $55.51
Aetna PPO $141.78
Anthem Blue Priority $45.15
Anthem Blue Preferred $45.15
Anthem PPO $144.50
Aurora Caregiver $49.68
Centivo $61.20
Cigna GPPO $93.06
Cigna PPO $143.81
Common Ground ETF Network $59.30
Common Ground Exchange Envision $59.30
Common Ground Group Envision $59.30
Everpointe Elite $51.70
Health EOS Plus $103.70
Health EOS PPO $136.00
HealthPartners ETF $71.14
HealthPartners Robin Focused $87.92
HealthPartners Broad $127.50
HPS $71.14
HST $70.09
Humana HPN $57.62
Humana HMO $57.62
Humana PPO $143.81
Molina Exchange $57.97
Quartz One $56.99
Quartz Group $64.06
Trilogy $76.55
UHC Individual Exchange $53.67
UHC Charter $53.67
UHC Nexus $53.67
UHC HMO $58.11
UHC PPO $143.82
WPS Aurora Featured Network $70.82
WPS Arise $74.55
WPS Statewide $74.55