ST. LUKE’S CHARGE 10001330 RHEUMATOID FACTOR QUANTITATIVE Insurance and Self Pay Discounts 302 86431 $110.00

Aurora ST. LUKE’S
CHARGE
10001330
RHEUMATOID FACTOR QUANTITATIVE
Rev 302
CPT 86431
NDC NA

Fee $110.00

Self-Pay $30.37

Insurance

Minimum $55.00
Maximum $93.50
Aetna W $22.55
Aetna PPO $91.74
Anthem Blue Priority $16.73
Anthem Blue Preferred $16.73
Anthem PPO $93.50
Aurora Caregiver $17.07
Centivo $23.63
Cigna GPPO $64.86
Cigna PPO $93.05
Common Ground ETF Network $22.38
Common Ground Exchange Envision $22.38
Common Ground Group Envision $22.38
Everpointe Elite $20.44
Health EOS Plus $67.10
Health EOS PPO $88.00
HealthPartners ETF $25.13
HealthPartners Robin Focused $31.84
HealthPartners Broad $82.50
HPS $28.74
HST $28.37
Humana HPN $23.37
Humana HMO $23.37
Humana PPO $93.05
Molina Exchange $26.30
Quartz One $24.31
Quartz Group $27.01
Trilogy $33.29
UHC Individual Exchange $17.13
UHC Charter $17.13
UHC Nexus $17.13
UHC HMO $18.30
UHC PPO $93.06
WPS Aurora Featured Network $28.85
WPS Arise $30.37
WPS Statewide $30.37