ST. LUKE’S CHARGE 10001476 HLA CROSSMATCH FLOW CYTOMETRY Insurance and Self Pay Discounts 302 86825 $450.00

Aurora ST. LUKE’S
CHARGE
10001476
HLA CROSSMATCH FLOW CYTOMETRY
Rev 302
CPT 86825
NDC NA

Fee $450.00

Self-Pay $214.20

Insurance

Minimum $225.00
Maximum $300.69
Aetna W $186.88
Aetna PPO $256.54
Anthem Blue Priority $184.24
Anthem Blue Preferred $184.24
Anthem PPO $270.00
Aurora Caregiver $167.66
Centivo $185.44
Cigna GPPO $274.02
Cigna PPO $300.69
Common Ground ETF Network $181.86
Common Ground Exchange Envision $181.86
Common Ground Group Envision $181.86
Everpointe Elite $194.05
Health EOS Plus $223.08
Health EOS PPO $247.50
HealthPartners ETF $189.74
HealthPartners Robin Focused $234.21
HealthPartners Broad $273.22
HPS $193.80
HST $207.51
Humana HPN $181.52
Humana HMO $181.52
Humana PPO $252.71
Molina Exchange $246.01
Quartz One $188.43
Quartz Group $209.77
Trilogy $237.79
UHC Individual Exchange $162.10
UHC Charter $162.10
UHC Nexus $162.10
UHC HMO $162.40
UHC PPO $253.42
WPS Aurora Featured Network $203.49
WPS Arise $214.20
WPS Statewide $214.20