ST. LUKE’S CHARGE 10001575 CULTURE, ORGANISM SCREEN Insurance and Self Pay Discounts 306 87081 $155.00

Aurora ST. LUKE’S
CHARGE
10001575
CULTURE, ORGANISM SCREEN
Rev 306
CPT 87081
NDC NA

Fee $155.00

Self-Pay $86.78

Insurance

Minimum $77.50
Maximum $129.32
Aetna W $66.62
Aetna PPO $126.52
Anthem Blue Priority $69.88
Anthem Blue Preferred $69.88
Anthem PPO $129.23
Aurora Caregiver $70.09
Centivo $73.70
Cigna GPPO $97.54
Cigna PPO $129.32
Common Ground ETF Network $70.41
Common Ground Exchange Envision $70.41
Common Ground Group Envision $70.41
Everpointe Elite $66.84
Health EOS Plus $93.39
Health EOS PPO $121.48
HealthPartners ETF $71.78
HealthPartners Robin Focused $88.83
HealthPartners Broad $114.81
HPS $84.50
HST $81.92
Humana HPN $84.55
Humana HMO $84.55
Humana PPO $128.25
Molina Exchange $71.06
Quartz One $67.56
Quartz Group $75.47
Trilogy $91.70
UHC Individual Exchange $81.77
UHC Charter $81.77
UHC Nexus $81.77
UHC HMO $86.24
UHC PPO $128.28
WPS Aurora Featured Network $82.44
WPS Arise $86.78
WPS Statewide $86.78