ST. LUKE’S CHARGE 10007070 HB ZINC TRANSPORTER 8 AB Insurance and Self Pay Discounts 302 86341 $380.00

Aurora ST. LUKE’S
CHARGE
10007070
HB ZINC TRANSPORTER 8 AB
Rev 302
CPT 86341
NDC NA

Fee $380.00

Self-Pay $148.54

Insurance

Minimum $190.00
Maximum $323.00
Aetna W $111.95
Aetna PPO $316.91
Anthem Blue Priority $122.86
Anthem Blue Preferred $122.86
Anthem PPO $323.00
Aurora Caregiver $136.24
Centivo $131.43
Cigna GPPO $174.49
Cigna PPO $321.45
Common Ground ETF Network $123.50
Common Ground Exchange Envision $123.50
Common Ground Group Envision $123.50
Everpointe Elite $120.13
Health EOS Plus $231.80
Health EOS PPO $304.00
HealthPartners ETF $119.86
HealthPartners Robin Focused $148.11
HealthPartners Broad $285.00
HPS $150.51
HST $158.34
Humana HPN $140.02
Humana HMO $140.02
Humana PPO $321.45
Molina Exchange $123.46
Quartz One $119.95
Quartz Group $133.46
Trilogy $152.46
UHC Individual Exchange $126.08
UHC Charter $126.08
UHC Nexus $126.08
UHC HMO $139.69
UHC PPO $321.48
WPS Aurora Featured Network $141.11
WPS Arise $148.54
WPS Statewide $148.54