ST. LUKE’S CHARGE 10001805 MACRO EXAM FOR MOLECULAR STUDY Insurance and Self Pay Discounts 312 88387 $20.00

Aurora ST. LUKE’S
CHARGE
10001805
MACRO EXAM FOR MOLECULAR STUDY
Rev 312
CPT 88387
NDC NA

Fee $20.00

Self-Pay $9.20

Insurance

Minimum $10.00
Maximum $16.92
Aetna W $6.89
Aetna PPO $16.58
Anthem Blue Priority $7.14
Anthem Blue Preferred $7.14
Anthem PPO $16.92
Aurora Caregiver $7.77
Centivo $8.29
Cigna GPPO $12.59
Cigna PPO $16.86
Common Ground ETF Network $7.52
Common Ground Exchange Envision $7.52
Common Ground Group Envision $7.52
Everpointe Elite $7.08
Health EOS Plus $12.16
Health EOS PPO $15.92
HealthPartners ETF $8.59
HealthPartners Robin Focused $10.88
HealthPartners Broad $14.95
HPS $9.66
HST $9.22
Humana HPN $8.77
Humana HMO $8.77
Humana PPO $16.82
Molina Exchange $7.88
Quartz One $7.43
Quartz Group $8.30
Trilogy $10.42
UHC Individual Exchange $7.42
UHC Charter $7.42
UHC Nexus $7.42
UHC HMO $8.04
UHC PPO $16.83
WPS Aurora Featured Network $8.74
WPS Arise $9.20
WPS Statewide $9.20