SINAI CHARGE 10002800 FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN Insurance and Self Pay Discounts 250 J1450 69784-002-06 $155.61

Aurora SINAI
CHARGE
10002800
FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN
Rev 250
CPT J1450
NDC 69784-002-06

Fee $155.61

Self-Pay $74.98

Insurance

Minimum $77.81
Maximum $132.27
Aetna W $52.57
Aetna PPO $129.62
Anthem Blue Priority $52.68
Anthem Blue Preferred $52.68
Anthem PPO $132.27
Aurora Caregiver $53.69
Centivo $57.89
Cigna GPPO $88.36
Cigna PPO $131.46
Common Ground ETF Network $53.14
Common Ground Exchange Envision $53.14
Common Ground Group Envision $53.14
Everpointe Elite $50.92
Health EOS Plus $94.93
Health EOS PPO $124.49
HealthPartners ETF $55.92
HealthPartners Robin Focused $70.09
HealthPartners Broad $116.71
HPS $63.74
HST $72.46
Humana HPN $58.71
Humana HMO $58.71
Humana PPO $131.48
Molina Exchange $59.93
Quartz One $61.10
Quartz Group $69.42
Trilogy $78.25
UHC Individual Exchange $52.35
UHC Charter $52.35
UHC Nexus $52.35
UHC HMO $56.37
UHC PPO $131.49
WPS Aurora Featured Network $71.23
WPS Arise $74.98
WPS Statewide $74.98