ST. LUKE’S CHARGE 10001626 ASPERGILLUS ANTIGEN EIA Insurance and Self Pay Discounts 306 87305 $305.00

Aurora ST. LUKE’S
CHARGE
10001626
ASPERGILLUS ANTIGEN EIA
Rev 306
CPT 87305
NDC NA

Fee $305.00

Self-Pay $156.27

Insurance

Minimum $152.50
Maximum $253.94
Aetna W $132.28
Aetna PPO $247.56
Anthem Blue Priority $128.58
Anthem Blue Preferred $128.58
Anthem PPO $253.53
Aurora Caregiver $124.10
Centivo $136.01
Cigna GPPO $185.39
Cigna PPO $253.94
Common Ground ETF Network $136.29
Common Ground Exchange Envision $136.29
Common Ground Group Envision $136.29
Everpointe Elite $117.39
Health EOS Plus $183.43
Health EOS PPO $238.28
HealthPartners ETF $128.38
HealthPartners Robin Focused $154.53
HealthPartners Broad $225.48
HPS $152.15
HST $151.80
Humana HPN $127.66
Humana HMO $127.66
Humana PPO $251.50
Molina Exchange $135.23
Quartz One $133.44
Quartz Group $154.25
Trilogy $166.40
UHC Individual Exchange $91.92
UHC Charter $91.92
UHC Nexus $91.92
UHC HMO $98.55
UHC PPO $251.56
WPS Aurora Featured Network $148.46
WPS Arise $156.27
WPS Statewide $156.27