Price of Topical Fluoride Varnish Application at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Topical Fluoride Varnish Application
Service Codes: LOCAL 2026117, CPT 99188
This procedure involves applying a fluoride varnish to the teeth to help prevent cavities and strengthen tooth enamel. It is a quick and painless treatment often recommended for children and individuals at higher risk for dental decay.
Pricing Overview
Cash Price
$18.13
Median Price
$74.41
Price Range
$19.08 - $268.84
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Aetna | Global National Transplant | $57.24 |
| First Health | PPO | $74.41 |
| EmblemHealth | HIP Access II | $25.26 |
| Aetna | Christian Brothers ASA PPO | $57.24 |
| Aetna | Allied ASA PPO | $57.24 |
| EmblemHealth | Bridge | $25.26 |
| Fidelis Care | Gold for Children (Exchange) | $225.07 |
| EmblemHealth | CMO Essential Plan 4 | $125.04 |
| EmblemHealth | HIP POS | $25.26 |
| UnitedHealthcare | Optum Health | $40.03 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $58.35 |
| MetroPlus | Essential Plan 4 | $125.04 |
| UnitedHealthcare | Student Resources | $40.03 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $131.29 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $81.02 |
| Cigna | Tufts Health Plan | $57.24 |
| Blue Cross Blue Shield | Hotel Trades Council | $72.93 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $72.93 |
| Anthem BCBS | Empire Plan, Value Options | $72.93 |
| VNS Health | MLTC (Medicaid) | $81.02 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $168.81 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $131.29 |
| UnitedHealthcare | Choice (NY Power Authority) | $40.03 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $19.08 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $131.29 |
| Blue Cross Blue Shield | Pathway | $150.05 |
| MetroPlus | Essential Plan 3-4 | $125.04 |
| MultiPlan | Mutual of Omaha | $74.41 |
| VNS Health | SelectHealth (Medicaid) | $81.02 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $125.04 |
| MagnaCare | JIB Employees Security Fund | $38.16 |
| UnitedHealthcare | Navigate | $40.03 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $125.04 |
| Cigna | Evernorth Behavioral Health | $57.24 |
| EmblemHealth | American Plan Administrators | $19.08 |
| UnitedHealthcare - Oxford | Optum Health | $85.31 |
| EmblemHealth | Essential Plan 4 | $125.04 |
| EmblemHealth | Healthcare Partners Essential Plans | $150.05 |
| EmblemHealth | BCBS GHI Composite | $72.93 |
| MultiPlan | PHCS Director Guild | $74.41 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $65.64 |
| UnitedHealthcare | Charter | $40.03 |
| Aetna | Signature Administrators PPO | $57.24 |
| Aetna | Coresource ASA PPO | $57.24 |
| UnitedHealthcare - Oxford | Liberty | $85.31 |
| MultiPlan | AXA Global Insurance | $74.41 |
| UnitedHealthcare | Golden Rule Insurance | $40.03 |
| 1199SEIU Funds | PPO | $175.50 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $58.35 |
| EmblemHealth | HIP Healthcare Partners HMO | $25.26 |
| MultiPlan | Capital District Physicians Health Plan | $74.41 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $136.63 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $131.29 |
| EmblemHealth | HIP PPO | $25.26 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $58.35 |
| Aetna | Student Health | $57.24 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $125.04 |
| UnitedHealthcare | POMCO (UMR) | $40.03 |
| Cigna | HMO | $57.24 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $65.64 |
| EmblemHealth | HIP compre health epo | $25.26 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $168.81 |
| UnitedHealthcare - Oxford | Freedom | $85.31 |
| BCBS (Out of State) | Indemnity | $72.93 |
| Health Net | PPO | $74.41 |
| MultiPlan | PHCS Savility | $74.41 |
| MagnaCare | JIB Members | $38.16 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $57.24 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $131.29 |
| Fidelis Care | Native American (Exchange) | $225.07 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $40.03 |
| Blue Cross Blue Shield | Indemnity | $72.93 |
| MagnaCare | Direct Plus Preferred | $38.16 |
| Fidelis Care | Bronze for Children (Exchange) | $225.07 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $58.35 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $72.93 |
| Cigna | PPO | $57.24 |
| Fidelis Care | Silver 250 (Exchange) | $225.07 |
| EmblemHealth | HIP SmartStart | $25.26 |
| MultiPlan | PHP Healthcare (Champus) | $74.41 |
| EmblemHealth | Essential Plan 1, 200-250 | $150.05 |
| Blue Cross Blue Shield | Pathway X Enhanced | $150.05 |
| EmblemHealth | Vytra HMO | $25.26 |
| UnitedHealthcare - Oxford | Metro | $85.31 |
| UnitedHealthcare | Core | $40.03 |
| MultiPlan | Administrative Concepts | $74.41 |
| Anthem BCBS | All Plans | $72.93 |
| MetroPlus | Child Health Plus (CHP) | $125.04 |
| Blue Cross Blue Shield | UniCare | $72.93 |
| Aetna | Starmark ASA PPO | $57.24 |
| UnitedHealthcare | EPO | $40.03 |
| EmblemHealth | HIP Child Health Plus | $125.04 |
| BCBS (Out of State) | POS | $72.93 |
| EmblemHealth | HIP | $25.26 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $125.04 |
| Aetna | Open Access HMO | $57.24 |
| EmblemHealth | CMO Essential Plan 1 | $150.05 |
| EmblemHealth | GHI EPO | $19.08 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $131.29 |
| EmblemHealth | GHI Behavioral Management Program | $19.08 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $168.81 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $25.26 |
| Aetna | Wellnet ASA PPO | $57.24 |
| UnitedHealthcare | POMCO (UMR) | $74.41 |
| BCBS (Out of State) | POS (Suitcase Logo) | $72.93 |
| Fidelis Care | Medicaid Managed Care | $155.05 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $72.93 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $65.64 |
| MetroPlus | Essential Plan 3 | $125.04 |
| Blue Cross Blue Shield | POS | $72.93 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $131.29 |
| MagnaCare | Direct Plus | $38.16 |
| Blue Cross Blue Shield | Global Transplants | $72.93 |
| MultiPlan | PPO | $74.41 |
| UnitedHealthcare | HMO | $40.03 |
| Fidelis Care | Bronze (Exchange) | $225.07 |
| Anthem BCBS HealthPlus | All Exchange Plans | $150.05 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $136.63 |
| Cigna | NALC PPO | $57.24 |
| MagnaCare | Independent Care Plus | $38.16 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $168.81 |
| MultiPlan | Kaiser Permanente | $74.41 |
| Cigna | Open Access | $57.24 |
| Fidelis Care | Essential Plan 4 | $155.05 |
| EmblemHealth | WLNY-TV | $19.08 |
| Aetna | POS | $57.24 |
| Blue Cross Blue Shield | Blue Priority HMO | $72.93 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $72.93 |
| MagnaCare | PPO | $38.16 |
| MagnaCare | American Plan Administrators | $38.16 |
| MagnaCare | Capital District Physicians Health Plan | $38.16 |
| Fidelis Care | Child Health Plus (CHP) | $155.05 |
| AgeWell (Deprecated) | Medicaid Managed Care | $81.02 |
| Cigna | Great West HMO | $57.24 |
| MultiPlan | US Life Insurance Co | $74.41 |
| Cigna | Wellfleet Student | $57.24 |
| Aetna | Chesterfield Resources ASA PPO | $57.24 |
| MagnaCare | National Health Plan | $38.16 |
| Fidelis Care | Platinum (Exchange) | $225.07 |
| Partners Health Plan | Medicaid | $81.02 |
| Healthfirst | Personal Wellness Plan (HARP) | $81.02 |
| Anthem BCBS HealthPlus | Medicaid | $136.63 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $65.64 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $131.29 |
| Cigna | Great West PPO | $57.24 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $150.05 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $19.08 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $72.93 |
| Cigna | MVP-Cigna Network | $57.24 |
| Fidelis Care | Essential Plan 1 | $268.84 |
| EmblemHealth | HIP Optum Health | $25.26 |
| Aetna | Healthscope ASA PPO | $57.24 |
| Fidelis Care | Gold (Exchange) | $225.07 |
| EmblemHealth | HIP Montefiore | $25.26 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $72.93 |
| Fidelis Care | Silver for Children (Exchange) | $225.07 |
| MultiPlan | Humana Health Plan | $74.41 |
| MultiPlan | Screen Actors Guild | $74.41 |
| MultiPlan | Meritain Health | $74.41 |
| 1199SEIU Funds | Home Care Benefit Fund | $175.50 |
| MultiPlan | Principal Financial Group | $74.41 |
| Blue Cross Blue Shield | Local 32 BJ | $72.93 |
| MultiPlan | QualCare Inc | $74.41 |
| Anthem BCBS | Optum | $72.93 |
| EmblemHealth | HIP EPO | $25.26 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $131.29 |
| UnitedHealthcare | POS | $40.03 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $125.04 |
| BCBS (Out of State) | PPO | $72.93 |
| MultiPlan | Paramount Insurance | $74.41 |
| MagnaCare | Cement & Concrete Workers District Council | $38.16 |
| EmblemHealth | Enhanced Care (Medicaid) | $125.04 |
| MetroPlus | Essential Plan 1-2, 200-250 | $125.04 |
| Fidelis Care | Platinum for Children (Exchange) | $225.07 |
| EmblemHealth | Essential Plan 3 | $125.04 |
| Aetna | HMO | $57.24 |
| Aetna | Open Access Elect Choice EPO | $57.24 |
| MultiPlan | Guardian Life Insurance Co | $74.41 |
| MetroPlus | Gold | $125.04 |
| Aetna | Indemnity | $77.27 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $72.93 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $58.35 |
| Blue Cross Blue Shield | PPO | $72.93 |
| EmblemHealth | HIP compre health | $25.26 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $136.63 |
| Aetna | Meritain Health | $57.24 |
| EmblemHealth | GHI PPO | $19.08 |
| Cigna | Open Access PPO | $57.24 |
| Fidelis Care | Essential Plan 2 | $268.84 |
| First Health | Commercial HMO | $80.14 |
| Humana | All Commercial Plans | $74.41 |
| Three Rivers | All Plans (Home-based Only) | $85.86 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $72.93 |
| UnitedHealthcare | Choice | $40.03 |
| GEHA | All Plans | $57.24 |
| MetroPlus | Essential Plan 2 | $125.04 |
| MultiPlan | Diversified Admin Corp | $74.41 |
| MultiPlan | Global Excel Management | $74.41 |
| MetroPlus | GoldCare 2 | $125.04 |
| EmblemHealth | GHI HMO | $19.08 |
| EmblemHealth | HIP Access I | $25.26 |
| EmblemHealth | GHI composite | $19.08 |
| 1199SEIU Funds | Member Choice Home Care Select | $175.50 |
| Blue Cross Blue Shield | Blue Priority PPO | $72.93 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $136.63 |
| EmblemHealth | CMO Essential Plan 2 | $150.05 |
| Aetna | PPO | $57.24 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $250.08 |
| Cigna | Premier Plus | $57.24 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $72.93 |
| BCBS (Out of State) | EPO | $72.93 |
| Fidelis Care | Essential Plan 3 | $155.05 |
| Fidelis Care | Silver (Exchange) | $225.07 |
| Cigna | Open Access HMO | $57.24 |
| Cigna | Indemnity | $57.24 |
| EmblemHealth | IUOE Local 14-14B | $19.08 |
| EmblemHealth | Essential Plan 2 | $150.05 |
| BCBS (Out of State) | HMO | $72.93 |
| MultiPlan | Healthnet of California | $74.41 |
| MultiPlan | PHCS | $74.41 |
| Aetna | Nippon Life ASA PPO | $57.24 |
| Cigna | LifeSOURCE | $57.24 |
| MetroPlus | Essential Plan 1 | $125.04 |
| Blue Cross Blue Shield | EPO | $72.93 |
| MultiPlan | Teamsters Allied Benefits | $74.41 |
| Blue Cross Blue Shield | HMO | $72.93 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $250.08 |
| Better Health Plan | All Plans | $80.14 |
| Blue Cross Blue Shield | Pathway Enhanced | $150.05 |
| EmblemHealth | CMO Essential Plan 3 | $125.04 |
| Blue Cross Blue Shield | Blue Connection | $72.93 |
| MultiPlan | Fiserv Health | $74.41 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $131.29 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $150.05 |
| Horizon BCBS | Direct | $72.93 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $136.63 |
| Cigna | Cigna Managed Care/POS | $57.24 |
| Fidelis Care | Catastrophic (Exchange) | $225.07 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $150.05 |
| MultiPlan | Nippon Life | $74.41 |
| EmblemHealth | HIP HMO | $25.26 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $136.63 |
| UnitedHealthcare | Independent | $40.03 |
| MetroPlus | Medicaid Managed Care | $125.04 |
| Blue Cross Blue Shield | Healthy New York | $72.93 |
| Partners Health Plan | Medicaid MLTC | $81.02 |
| UnitedHealthcare | PPO | $40.03 |
| MultiPlan | Global Health Management | $74.41 |
| Blue Cross Blue Shield | Federal Program | $72.93 |