ST. LUKE’S CHARGE 10001310 IMMUNOFIXATION ELECTRO, URINE Insurance and Self Pay Discounts 302 86335 $220.00

Aurora ST. LUKE’S
CHARGE
10001310
IMMUNOFIXATION ELECTRO, URINE
Rev 302
CPT 86335
NDC NA

Fee $220.00

Self-Pay $78.46

Insurance

Minimum $110.00
Maximum $183.36
Aetna W $60.88
Aetna PPO $178.11
Anthem Blue Priority $49.58
Anthem Blue Preferred $49.58
Anthem PPO $183.15
Aurora Caregiver $48.63
Centivo $60.18
Cigna GPPO $116.50
Cigna PPO $183.36
Common Ground ETF Network $60.82
Common Ground Exchange Envision $60.82
Common Ground Group Envision $60.82
Everpointe Elite $54.86
Health EOS Plus $132.44
Health EOS PPO $172.15
HealthPartners ETF $69.50
HealthPartners Robin Focused $87.17
HealthPartners Broad $162.80
HPS $72.20
HST $74.04
Humana HPN $59.47
Humana HMO $59.47
Humana PPO $181.72
Molina Exchange $67.13
Quartz One $64.12
Quartz Group $72.37
Trilogy $84.23
UHC Individual Exchange $38.74
UHC Charter $38.74
UHC Nexus $38.74
UHC HMO $41.11
UHC PPO $181.76
WPS Aurora Featured Network $74.54
WPS Arise $78.46
WPS Statewide $78.46