ST. LUKE’S CHARGE 10006682 INSULIN-LIKE GROWTH FACTOR 2 Insurance and Self Pay Discounts 301 83520 $240.00

Aurora ST. LUKE’S
CHARGE
10006682
INSULIN-LIKE GROWTH FACTOR 2
Rev 301
CPT 83520
NDC NA

Fee $240.00

Self-Pay $115.50

Insurance

Minimum $120.00
Maximum $201.00
Aetna W $90.83
Aetna PPO $196.41
Anthem Blue Priority $88.78
Anthem Blue Preferred $88.78
Anthem PPO $201.00
Aurora Caregiver $91.08
Centivo $97.56
Cigna GPPO $145.66
Cigna PPO $200.82
Common Ground ETF Network $95.50
Common Ground Exchange Envision $95.50
Common Ground Group Envision $95.50
Everpointe Elite $88.16
Health EOS Plus $144.98
Health EOS PPO $188.94
HealthPartners ETF $93.75
HealthPartners Robin Focused $114.74
HealthPartners Broad $178.22
HPS $112.25
HST $116.20
Humana HPN $98.49
Humana HMO $98.49
Humana PPO $199.32
Molina Exchange $98.63
Quartz One $97.17
Quartz Group $109.27
Trilogy $123.21
UHC Individual Exchange $92.21
UHC Charter $92.21
UHC Nexus $92.21
UHC HMO $99.14
UHC PPO $199.57
WPS Aurora Featured Network $109.73
WPS Arise $115.50
WPS Statewide $115.50