ST. LUKE’S OP PROC* 49423 EXCHANGE DRAINAGE CATHETER Insurance and Self Pay Discounts NA $9,951.27

Aurora ST. LUKE’S
OP PROC*
49423
EXCHANGE DRAINAGE CATHETER
Rev NA
CPT NA
NDC NA

Fee $9,951.27

Self-Pay $3,143.15

Insurance

Minimum $4,975.64
Maximum $8,458.58
Aetna W $2,630.38
Aetna PPO $8,299.14
Anthem Blue Priority $2,855.53
Anthem Blue Preferred $2,855.53
Anthem PPO $8,458.58
Aurora Caregiver $2,792.93
Centivo $3,422.71
Cigna GPPO $8,412.42
Cigna PPO $8,417.98
Common Ground ETF Network $2,918.42
Common Ground Exchange Envision $2,918.42
Common Ground Group Envision $2,918.42
Everpointe Elite $2,278.14
Health EOS Plus $5,970.76
Health EOS PPO $7,961.02
HealthPartners ETF $3,665.98
HealthPartners Robin Focused $4,895.08
HealthPartners Broad $7,463.45
HPS $4,387.44
HST $3,413.08
Humana HPN $3,598.67
Humana HMO $3,598.67
Humana PPO $8,417.98
Molina Exchange $2,784.04
Quartz One $2,818.34
Quartz Group $3,127.64
Trilogy $4,674.63
UHC Individual Exchange $3,169.79
UHC Charter $3,206.67
UHC Nexus $3,206.67
UHC HMO $3,493.39
UHC PPO $8,418.77
WPS Aurora Featured Network $2,985.99
WPS Arise $3,143.15
WPS Statewide $3,143.15