ST. LUKE’S CHARGE 10001231 SICKLE CELL SCREEN Insurance and Self Pay Discounts 305 85660 $90.00

Aurora ST. LUKE’S
CHARGE
10001231
SICKLE CELL SCREEN
Rev 305
CPT 85660
NDC NA

Fee $90.00

Self-Pay $28.70

Insurance

Minimum $45.00
Maximum $76.50
Aetna W $21.08
Aetna PPO $75.06
Anthem Blue Priority $17.16
Anthem Blue Preferred $17.16
Anthem PPO $76.50
Aurora Caregiver $17.90
Centivo $22.11
Cigna GPPO $49.83
Cigna PPO $76.13
Common Ground ETF Network $21.72
Common Ground Exchange Envision $21.72
Common Ground Group Envision $21.72
Everpointe Elite $19.82
Health EOS Plus $54.90
Health EOS PPO $72.00
HealthPartners ETF $23.50
HealthPartners Robin Focused $29.32
HealthPartners Broad $67.50
HPS $26.41
HST $27.27
Humana HPN $22.62
Humana HMO $22.62
Humana PPO $76.13
Molina Exchange $24.52
Quartz One $23.18
Quartz Group $25.86
Trilogy $30.34
UHC Individual Exchange $14.78
UHC Charter $14.78
UHC Nexus $14.78
UHC HMO $15.93
UHC PPO $76.14
WPS Aurora Featured Network $27.27
WPS Arise $28.70
WPS Statewide $28.70