ST. LUKE’S CHARGE 10002240 CATH ASPIRATION NASOTRACHEAL Insurance and Self Pay Discounts 410 31720 $135.00
CATH ASPIRATION NASOTRACHEAL
Rev 410
CPT 31720
Aurora ST. LUKE’S
CHARGE
10002240
CATH ASPIRATION NASOTRACHEAL
Rev 410
CPT 31720
NDC NA
Fee $135.00
Self-Pay $54.81
Insurance
Minimum $67.50
Maximum $114.75
Aetna W $49.82
Aetna PPO $112.59
Anthem Blue Priority $53.52
Anthem Blue Preferred $53.52
Anthem PPO $114.75
Aurora Caregiver $55.51
Centivo $55.35
Cigna GPPO $63.31
Cigna PPO $114.20
Common Ground ETF Network $57.86
Common Ground Exchange Envision $57.86
Common Ground Group Envision $57.86
Everpointe Elite $48.78
Health EOS Plus $82.35
Health EOS PPO $108.00
HealthPartners ETF $47.74
HealthPartners Robin Focused $57.69
HealthPartners Broad $101.25
HPS $66.62
HST $65.73
Humana HPN $54.91
Humana HMO $54.91
Humana PPO $114.20
Molina Exchange $49.42
Quartz One $49.87
Quartz Group $56.87
Trilogy $63.85
UHC Individual Exchange $53.35
UHC Charter $53.97
UHC Nexus $53.97
UHC HMO $59.77
UHC PPO $114.21
WPS Aurora Featured Network $52.07
WPS Arise $54.81
WPS Statewide $54.81