ST. LUKE’S CHARGE 10002800 MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN Insurance and Self Pay Discounts 250 J2270 70092-1380-36 $134.00

Aurora ST. LUKE’S
CHARGE
10002800
MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN
Rev 250
CPT J2270
NDC 70092-1380-36

Fee $134.00

Self-Pay $62.63

Insurance

Minimum $67.00
Maximum $112.78
Aetna W $49.44
Aetna PPO $110.67
Anthem Blue Priority $52.74
Anthem Blue Preferred $52.74
Anthem PPO $112.78
Aurora Caregiver $55.82
Centivo $55.51
Cigna GPPO $71.60
Cigna PPO $112.56
Common Ground ETF Network $54.20
Common Ground Exchange Envision $54.20
Common Ground Group Envision $54.20
Everpointe Elite $50.62
Health EOS Plus $81.23
Health EOS PPO $106.08
HealthPartners ETF $54.60
HealthPartners Robin Focused $67.21
HealthPartners Broad $99.86
HPS $64.84
HST $65.21
Humana HPN $59.59
Humana HMO $59.59
Humana PPO $112.08
Molina Exchange $53.67
Quartz One $50.84
Quartz Group $56.74
Trilogy $65.98
UHC Individual Exchange $58.43
UHC Charter $58.43
UHC Nexus $58.43
UHC HMO $63.51
UHC PPO $112.10
WPS Aurora Featured Network $59.50
WPS Arise $62.63
WPS Statewide $62.63