ST. LUKE’S CHARGE 10001740 CHROMOSOME ANALYSIS ADD KARYO Insurance and Self Pay Discounts 311 88280 $195.00

Aurora ST. LUKE’S
CHARGE
10001740
CHROMOSOME ANALYSIS ADD KARYO
Rev 311
CPT 88280
NDC NA

Fee $195.00

Self-Pay $87.40

Insurance

Minimum $97.50
Maximum $164.93
Aetna W $65.44
Aetna PPO $161.61
Anthem Blue Priority $67.86
Anthem Blue Preferred $67.86
Anthem PPO $164.93
Aurora Caregiver $73.80
Centivo $78.81
Cigna GPPO $119.54
Cigna PPO $164.37
Common Ground ETF Network $71.40
Common Ground Exchange Envision $71.40
Common Ground Group Envision $71.40
Everpointe Elite $67.25
Health EOS Plus $118.58
Health EOS PPO $155.18
HealthPartners ETF $81.60
HealthPartners Robin Focused $103.33
HealthPartners Broad $145.78
HPS $91.79
HST $87.60
Humana HPN $83.27
Humana HMO $83.27
Humana PPO $164.02
Molina Exchange $74.86
Quartz One $70.59
Quartz Group $78.89
Trilogy $98.98
UHC Individual Exchange $70.47
UHC Charter $70.47
UHC Nexus $70.47
UHC HMO $76.37
UHC PPO $164.05
WPS Aurora Featured Network $83.03
WPS Arise $87.40
WPS Statewide $87.40