ST. LUKE’S CHARGE 10001290 NEURONAL NUCLEAR AB IGG TITER Insurance and Self Pay Discounts 302 86256 $205.00

Aurora ST. LUKE’S
CHARGE
10001290
NEURONAL NUCLEAR AB IGG TITER
Rev 302
CPT 86256
NDC NA

Fee $205.00

Self-Pay $98.29

Insurance

Minimum $102.50
Maximum $171.69
Aetna W $77.31
Aetna PPO $167.76
Anthem Blue Priority $75.56
Anthem Blue Preferred $75.56
Anthem PPO $171.69
Aurora Caregiver $77.52
Centivo $83.03
Cigna GPPO $123.97
Cigna PPO $171.53
Common Ground ETF Network $81.28
Common Ground Exchange Envision $81.28
Common Ground Group Envision $81.28
Everpointe Elite $75.03
Health EOS Plus $123.84
Health EOS PPO $161.38
HealthPartners ETF $79.80
HealthPartners Robin Focused $97.65
HealthPartners Broad $152.23
HPS $95.52
HST $98.90
Humana HPN $83.82
Humana HMO $83.82
Humana PPO $170.25
Molina Exchange $83.95
Quartz One $82.70
Quartz Group $93.00
Trilogy $104.85
UHC Individual Exchange $78.48
UHC Charter $78.48
UHC Nexus $78.48
UHC HMO $84.37
UHC PPO $170.47
WPS Aurora Featured Network $93.38
WPS Arise $98.29
WPS Statewide $98.29