ST. LUKE’S OP PROC* C9600 PERC DRUG-EL COR STENT SING Insurance and Self Pay Discounts NA $57,937.40

Aurora ST. LUKE’S
OP PROC*
C9600
PERC DRUG-EL COR STENT SING
Rev NA
CPT NA
NDC NA

Fee $57,937.40

Self-Pay $27,710.52

Insurance

Minimum $28,968.70
Maximum $49,246.79
Aetna W $23,362.49
Aetna PPO $48,318.50
Anthem Blue Priority $21,495.51
Anthem Blue Preferred $21,495.51
Anthem PPO $49,246.79
Aurora Caregiver $25,544.11
Centivo $25,567.10
Cigna GPPO $11,771.92
Cigna PPO $49,010.41
Common Ground ETF Network $19,649.05
Common Ground Exchange Envision $19,649.05
Common Ground Group Envision $19,649.05
Everpointe Elite $20,324.54
Health EOS Plus $34,762.44
Health EOS PPO $46,349.93
HealthPartners ETF $21,343.73
HealthPartners Robin Focused $28,499.68
HealthPartners Broad $43,453.05
HPS $24,746.99
HST $25,620.97
Humana HPN $25,448.67
Humana HMO $25,448.67
Humana PPO $49,010.41
Molina Exchange $22,353.26
Quartz One $21,089.38
Quartz Group $23,428.37
Trilogy $28,849.98
UHC Individual Exchange $23,558.72
UHC Charter $23,832.80
UHC Nexus $23,832.80
UHC HMO $25,879.36
UHC PPO $49,015.04
WPS Aurora Featured Network $26,324.99
WPS Arise $27,710.52
WPS Statewide $27,710.52