ST. LUKE’S CHARGE 10002800 HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN Insurance and Self Pay Discounts 250 J1644 0409-2720-02 $62.42

Aurora ST. LUKE’S
CHARGE
10002800
HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN
Rev 250
CPT J1644
NDC 0409-2720-02

Fee $62.42

Self-Pay $29.39

Insurance

Minimum $31.21
Maximum $52.08
Aetna W $24.12
Aetna PPO $50.98
Anthem Blue Priority $25.45
Anthem Blue Preferred $25.45
Anthem PPO $52.03
Aurora Caregiver $27.28
Centivo $26.83
Cigna GPPO $32.07
Cigna PPO $52.08
Common Ground ETF Network $26.59
Common Ground Exchange Envision $26.59
Common Ground Group Envision $26.59
Everpointe Elite $24.69
Health EOS Plus $37.61
Health EOS PPO $48.91
HealthPartners ETF $26.64
HealthPartners Robin Focused $32.97
HealthPartners Broad $46.23
HPS $31.39
HST $31.10
Humana HPN $28.33
Humana HMO $28.33
Humana PPO $51.64
Molina Exchange $25.87
Quartz One $24.37
Quartz Group $27.36
Trilogy $32.06
UHC Individual Exchange $29.16
UHC Charter $29.16
UHC Nexus $29.16
UHC HMO $31.58
UHC PPO $51.66
WPS Aurora Featured Network $27.92
WPS Arise $29.39
WPS Statewide $29.39