ST. LUKE’S CHARGE 10001555 CULTURE, BLOOD Insurance and Self Pay Discounts 306 87040 $155.00

Aurora ST. LUKE’S
CHARGE
10001555
CULTURE, BLOOD
Rev 306
CPT 87040
NDC NA

Fee $155.00

Self-Pay $80.85

Insurance

Minimum $77.50
Maximum $129.74
Aetna W $64.79
Aetna PPO $126.68
Anthem Blue Priority $70.72
Anthem Blue Preferred $70.72
Anthem PPO $129.74
Aurora Caregiver $73.71
Centivo $72.94
Cigna GPPO $91.77
Cigna PPO $129.43
Common Ground ETF Network $71.50
Common Ground Exchange Envision $71.50
Common Ground Group Envision $71.50
Everpointe Elite $66.52
Health EOS Plus $93.47
Health EOS PPO $121.75
HealthPartners ETF $69.78
HealthPartners Robin Focused $84.61
HealthPartners Broad $114.88
HPS $83.54
HST $84.43
Humana HPN $76.41
Humana HMO $76.41
Humana PPO $128.41
Molina Exchange $69.17
Quartz One $67.90
Quartz Group $75.60
Trilogy $84.78
UHC Individual Exchange $75.49
UHC Charter $75.49
UHC Nexus $75.49
UHC HMO $81.40
UHC PPO $128.58
WPS Aurora Featured Network $76.81
WPS Arise $80.85
WPS Statewide $80.85