ST. LUKE’S CHARGE 10001265 ANTI-CENTROMERE ANTIBODY Insurance and Self Pay Discounts 302 86235 $105.00

Aurora ST. LUKE’S
CHARGE
10001265
ANTI-CENTROMERE ANTIBODY
Rev 302
CPT 86235
NDC NA

Fee $105.00

Self-Pay $37.34

Insurance

Minimum $52.50
Maximum $89.25
Aetna W $28.04
Aetna PPO $87.57
Anthem Blue Priority $21.68
Anthem Blue Preferred $21.68
Anthem PPO $89.25
Aurora Caregiver $22.31
Centivo $29.11
Cigna GPPO $57.99
Cigna PPO $88.82
Common Ground ETF Network $28.10
Common Ground Exchange Envision $28.10
Common Ground Group Envision $28.10
Everpointe Elite $25.45
Health EOS Plus $64.05
Health EOS PPO $84.00
HealthPartners ETF $31.57
HealthPartners Robin Focused $39.95
HealthPartners Broad $78.75
HPS $34.74
HST $35.67
Humana HPN $28.42
Humana HMO $28.42
Humana PPO $88.82
Molina Exchange $31.78
Quartz One $30.34
Quartz Group $33.75
Trilogy $39.75
UHC Individual Exchange $20.69
UHC Charter $20.69
UHC Nexus $20.69
UHC HMO $22.26
UHC PPO $88.83
WPS Aurora Featured Network $35.47
WPS Arise $37.34
WPS Statewide $37.34