ST. LUKE’S OP PROC* 37191 INS ENDOVAS VENA CAVA FILTR Insurance and Self Pay Discounts NA $23,841.58

Aurora ST. LUKE’S
OP PROC*
37191
INS ENDOVAS VENA CAVA FILTR
Rev NA
CPT NA
NDC NA

Fee $23,841.58

Self-Pay $16,369.33

Insurance

Minimum $11,920.79
Maximum $20,265.34
Aetna W $11,150.75
Aetna PPO $19,883.34
Anthem Blue Priority $14,705.53
Anthem Blue Preferred $14,705.53
Anthem PPO $20,265.34
Aurora Caregiver $11,579.71
Centivo $14,821.08
Cigna GPPO $10,322.42
Cigna PPO $20,168.07
Common Ground ETF Network $11,212.40
Common Ground Exchange Envision $11,212.40
Common Ground Group Envision $11,212.40
Everpointe Elite $12,560.16
Health EOS Plus $14,304.95
Health EOS PPO $19,073.26
HealthPartners ETF $8,783.07
HealthPartners Robin Focused $11,727.78
HealthPartners Broad $17,881.18
HPS $15,225.86
HST $14,392.20
Humana HPN $14,964.41
Humana HMO $14,964.41
Humana PPO $20,168.07
Molina Exchange $13,352.11
Quartz One $12,149.28
Quartz Group $13,480.69
Trilogy $17,867.71
UHC Individual Exchange $13,214.76
UHC Charter $13,368.50
UHC Nexus $13,368.50
UHC HMO $14,344.82
UHC PPO $20,169.97
WPS Aurora Featured Network $15,550.86
WPS Arise $16,369.33
WPS Statewide $16,369.33