ST. LUKE’S CHARGE 10002317 BLOOD SPEC CENTRAL LINE/PICC Insurance and Self Pay Discounts 300 36592 $160.00

Aurora ST. LUKE’S
CHARGE
10002317
BLOOD SPEC CENTRAL LINE/PICC
Rev 300
CPT 36592
NDC NA

Fee $160.00

Self-Pay $57.94

Insurance

Minimum $80.00
Maximum $136.00
Aetna W $39.66
Aetna PPO $133.44
Anthem Blue Priority $30.00
Anthem Blue Preferred $30.00
Anthem PPO $136.00
Aurora Caregiver $28.22
Centivo $35.76
Cigna GPPO $94.50
Cigna PPO $135.35
Common Ground ETF Network $33.25
Common Ground Exchange Envision $33.25
Common Ground Group Envision $33.25
Everpointe Elite $31.24
Health EOS Plus $97.60
Health EOS PPO $128.00
HealthPartners ETF $35.38
HealthPartners Robin Focused $44.03
HealthPartners Broad $120.00
HPS $41.89
HST $51.47
Humana HPN $31.06
Humana HMO $31.06
Humana PPO $135.35
Molina Exchange $41.42
Quartz One $48.15
Quartz Group $55.88
Trilogy $62.31
UHC Individual Exchange $29.15
UHC Charter $29.15
UHC Nexus $29.15
UHC HMO $30.94
UHC PPO $135.36
WPS Aurora Featured Network $55.04
WPS Arise $57.94
WPS Statewide $57.94