Price of Adnexa Removal Laparoscopy at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Adnexa Removal Laparoscopy
Service Codes: CPT 58661, LOCAL 2025727
This procedure involves the minimally invasive removal of the adnexa, which includes the ovaries and fallopian tubes, using laparoscopic techniques. It is typically performed to treat conditions such as ectopic pregnancy, ovarian cysts, or other reproductive health issues.
Pricing Overview
Cash Price
$2,884.49
Median Price
$10,476.25
Price Range
$1,976.13 - $17,420.00
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| UnitedHealthcare | Medicare Advantage | $6,384.88 |
| EmblemHealth | Prime Platinum | $10,476.25 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $6,384.88 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $6,384.88 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $17,300.00 |
| 1199SEIU Funds | PPO | $9,005.00 |
| MagnaCare | National Health Plan | $13,547.57 |
| MultiPlan | Guardian Life Insurance Co | $11,841.60 |
| UnitedHealthcare | Golden Rule Insurance | $11,467.00 |
| Aetna | POS | $11,805.71 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $15,570.00 |
| Aetna | Chesterfield Resources ASA PPO | $11,805.71 |
| EmblemHealth | HIP Medicare Supplement | $6,384.88 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $2,371.35 |
| Healthfirst | Essential Plan 4 | $2,425.14 |
| CenterLight | Direct | $6,512.58 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $6,384.88 |
| UnitedHealthcare | Core | $11,467.00 |
| BCBS (Out of State) | POS | $17,300.00 |
| Blue Cross Blue Shield | Local 32 BJ | $17,300.00 |
| UnitedHealthcare | Navigate | $11,467.00 |
| Anthem BCBS | Optum | $17,300.00 |
| MultiPlan | PHCS Savility | $11,841.60 |
| MultiPlan | Global Health Management | $11,841.60 |
| Partners Health Plan | FIDA | $6,384.88 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $1,976.13 |
| Healthfirst | Personal Wellness Plan (HARP) | $2,425.14 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $6,384.88 |
| UnitedHealthcare | Charter | $11,467.00 |
| Aetna | Open Access Elect Choice EPO | $11,805.71 |
| Healthfirst | Medicaid Managed Care | $2,425.14 |
| MultiPlan | PHP Healthcare (Champus) | $11,841.60 |
| Aetna | Meritain Health | $11,805.71 |
| Cigna | MVP-Cigna Network | $5,418.00 |
| First Health | Commercial HMO | $12,752.49 |
| EmblemHealth | GHI Medicare HMO | $6,384.88 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $2,667.77 |
| UnitedHealthcare - Oxford | Medicare Advantage | $6,384.88 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $17,300.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $2,074.93 |
| Blue Cross Blue Shield | Senior Care Supplemental | $6,384.88 |
| Aetna | Nippon Life ASA PPO | $11,805.71 |
| EmblemHealth | HIP VIP Medicare Affinity | $6,384.88 |
| Blue Cross Blue Shield | HMO | $17,300.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $15,570.00 |
| VNS Health | EasyCare (Medicare Advantage) | $6,384.88 |
| Blue Cross Blue Shield | Blue Connection | $17,300.00 |
| EmblemHealth | Select Care Bronze Small Group | $10,476.25 |
| Health Net | PPO | $11,841.60 |
| Elderplan | FIDA | $6,384.88 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $13,840.00 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $1,976.13 |
| Blue Cross Blue Shield | Healthy New York | $17,300.00 |
| Fidelis Care | Essential Plan 2 | $4,248.67 |
| 1199SEIU Funds | Member Choice Home Care Select | $9,005.00 |
| Aetna | Christian Brothers ASA PPO | $11,805.71 |
| EmblemHealth | HIP SmartStart | $12,325.00 |
| CenterLight | Select | $6,512.58 |
| Centers Plan for Healthy Living | All Plans | $6,384.88 |
| Veterans Choice | Veterans Choice Program | $6,384.88 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $3,952.25 |
| Fidelis Care | Gold for Children (Exchange) | $3,557.03 |
| EmblemHealth | HIP VIP Medicare Reserve | $6,384.88 |
| Aetna | Coresource ASA PPO | $11,805.71 |
| Blue Cross Blue Shield | EPO | $17,300.00 |
| MultiPlan | Kaiser Permanente | $11,841.60 |
| EmblemHealth | Prime Gold | $10,476.25 |
| Healthfirst | Essential Plan 3 | $2,425.14 |
| EmblemHealth | CMO Essential Plan 4 | $1,976.13 |
| EmblemHealth | Select Care Gold Small Group | $10,476.25 |
| EmblemHealth | Select Care Platinum Exchange | $10,476.25 |
| Cigna | NALC PPO | $5,418.00 |
| Cigna | Great West HMO | $5,418.00 |
| Cigna | Wellfleet Student | $5,418.00 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $1,976.13 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| MultiPlan | Humana Health Plan | $11,841.60 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $1,976.13 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $2,074.93 |
| MultiPlan | QualCare Inc | $11,841.60 |
| Aetna | Starmark ASA PPO | $11,805.71 |
| VNS Health | MLTC (Medicaid) | $1,976.13 |
| Cigna | Great West PPO | $5,418.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| Blue Cross Blue Shield | UniCare | $17,300.00 |
| EmblemHealth | HIP EPO | $12,325.00 |
| Aetna | Medicare Advantage | $6,384.88 |
| EmblemHealth | Select Care Gold Exchange | $10,476.25 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $1,976.13 |
| MultiPlan | Paramount Insurance | $11,841.60 |
| MetroPlus | Medicaid Managed Care | $1,976.13 |
| BCBS (Out of State) | POS (Suitcase Logo) | $17,300.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $17,300.00 |
| Humana | All Commercial Plans | $11,841.60 |
| EmblemHealth | HIP compre health | $12,325.00 |
| Champus | Unysis Corp | $6,384.88 |
| EmblemHealth | Prime Silver | $10,476.25 |
| UnitedHealthcare | Independent | $11,467.00 |
| Fidelis Care | Bronze (Exchange) | $3,557.03 |
| AgeWell (Deprecated) | Medicaid Managed Care | $1,976.13 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $6,384.88 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| UnitedHealthcare | PPO | $11,467.00 |
| EmblemHealth | Essential Plan 4 | $1,976.13 |
| MultiPlan | PHCS Director Guild | $11,841.60 |
| Healthfirst | Personal Wellness Plan (HARP) | $1,976.13 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $6,384.88 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $6,384.88 |
| Fidelis Care | Medicaid Managed Care | $2,450.40 |
| MultiPlan | Fiserv Health | $11,841.60 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $6,384.88 |
| UnitedHealthcare - Oxford | Metro | $10,145.00 |
| Fidelis Care | Platinum (Exchange) | $3,557.03 |
| MultiPlan | Nippon Life | $11,841.60 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $2,371.35 |
| Fidelis Care | Essential Plan 4 | $2,450.40 |
| MetroPlus | GoldCare 2 | $4,228.91 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $6,384.88 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $2,667.77 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $1,976.13 |
| Blue Cross Blue Shield | POS | $17,300.00 |
| Blue Cross Blue Shield | Global Transplants | $17,300.00 |
| UnitedHealthcare | AARP | $6,384.88 |
| Anthem BCBS HealthPlus | Medicare Advantage | $6,384.88 |
| Blue Cross Blue Shield | PPO | $17,300.00 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $15,570.00 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $17,300.00 |
| MultiPlan | Administrative Concepts | $11,841.60 |
| EmblemHealth | GHI composite | $17,420.00 |
| EmblemHealth | CMO Essential Plan 2 | $2,371.35 |
| Blue Cross Blue Shield | Blue Priority PPO | $17,300.00 |
| Aetna | PPO | $11,805.71 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $2,667.77 |
| Cigna | Tufts Health Plan | $5,418.00 |
| EmblemHealth | IUOE Local 14-14B | $17,420.00 |
| Healthfirst | Child Health Plus (CHP) | $2,425.14 |
| 1199SEIU Funds | Home Care Benefit Fund | $9,005.00 |
| MetroPlus | Essential Plan 3 | $1,976.13 |
| EmblemHealth | Enhanced Care (Medicaid) | $1,976.13 |
| MetroPlus | Gold | $4,228.91 |
| MultiPlan | Capital District Physicians Health Plan | $11,841.60 |
| Aetna | Healthscope ASA PPO | $11,805.71 |
| MetroPlus | Essential Plan 1-2, 200-250 | $1,976.13 |
| EmblemHealth | HIP PPO | $12,325.00 |
| VA Community Care Network | Optum | $6,384.88 |
| Amida Care | Medicaid Managed Care | $1,976.13 |
| MetroPlus | Essential Plan 2 | $1,976.13 |
| BCBS (Out of State) | PPO | $17,300.00 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| HealthSmart | WTC Health Program - FDNY | $6,384.88 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $2,667.77 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $17,300.00 |
| EmblemHealth | Bridge | $12,325.00 |
| EmblemHealth | Select Care Silver Small Group | $10,476.25 |
| Fidelis Care | Essential Plan 3 | $2,450.40 |
| EmblemHealth | GHI HMO | $17,420.00 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $5,418.00 |
| UnitedHealthcare | Choice | $11,467.00 |
| Fidelis Care | Wellcare Medicare Advantage | $6,384.88 |
| MultiPlan | Screen Actors Guild | $11,841.60 |
| Blue Cross Blue Shield | Pathway | $2,371.35 |
| EmblemHealth | HIP VIP Medicare Montefiore | $6,384.88 |
| Anthem BCBS | Empire Plan, Value Options | $17,300.00 |
| Cigna | PPO | $5,418.00 |
| UnitedHealthcare | POMCO (UMR) | $11,841.60 |
| HealthSmart | WTC Health Program - NYCHHC | $6,384.88 |
| MetroPlus | BronzePlus | $12,642.07 |
| EmblemHealth | Essential Plan 3 | $1,976.13 |
| Cigna | Open Access | $5,418.00 |
| Aetna | Global National Transplant | $11,805.71 |
| MetroPlus | PlatinumPlus | $12,642.07 |
| MagnaCare | Direct Plus | $13,547.57 |
| Blue Cross Blue Shield | Indemnity | $17,300.00 |
| MultiPlan | Healthnet of California | $11,841.60 |
| Blue Cross Blue Shield | Pathway X Enhanced | $2,371.35 |
| MetroPlus | GoldPlus | $12,642.07 |
| MultiPlan | PHCS | $11,841.60 |
| EmblemHealth | HIP Optum Health | $12,325.00 |
| EmblemHealth | HIP Montefiore | $12,325.00 |
| MultiPlan | Principal Financial Group | $11,841.60 |
| Anthem BCBS | All Plans | $17,300.00 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $2,074.93 |
| Fidelis Care | Bronze for Children (Exchange) | $3,557.03 |
| VNS Health | SelectHealth (Medicaid) | $1,976.13 |
| Anthem BCBS HealthPlus | All Exchange Plans | $2,371.35 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $6,384.88 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $6,384.88 |
| MetroPlus | MedPlus | $12,642.07 |
| EmblemHealth | WLNY-TV | $17,420.00 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $6,384.88 |
| Partners Health Plan | Medicare Advantage | $6,384.88 |
| MetroPlus | Medicare Advantage | $6,384.88 |
| EmblemHealth | HIP Access I | $12,325.00 |
| UnitedHealthcare | POMCO (UMR) | $11,467.00 |
| BCBS (Out of State) | Indemnity | $17,300.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $2,074.93 |
| MetroPlus | Child Health Plus (CHP) | $1,976.13 |
| Elderplan | All Plans | $6,384.88 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $6,384.88 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $1,976.13 |
| UnitedHealthcare - Oxford | Freedom | $10,145.00 |
| VillageCareMAX | All Plans | $6,384.88 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $15,570.00 |
| Hamaspik | Medicare Advantage | $12,769.77 |
| Partners Health Plan | Medicaid | $1,976.13 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $13,840.00 |
| Cigna | Premier Plus | $5,418.00 |
| Cigna | Indemnity | $5,418.00 |
| EmblemHealth | GHI EPO | $17,420.00 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $17,300.00 |
| Cigna | LifeSOURCE | $5,418.00 |
| Aetna | Wellnet ASA PPO | $11,805.71 |
| EmblemHealth | HIP HMO | $12,325.00 |
| HealthSmart | WTC Health Program - NYU | $6,384.88 |
| Fidelis Care | Silver for Children (Exchange) | $3,557.03 |
| Cigna | Cigna Managed Care/POS | $5,418.00 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $10,476.25 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $13,840.00 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $6,384.88 |
| EmblemHealth | HIP POS | $12,325.00 |
| Blue Cross Blue Shield | Blue Priority HMO | $17,300.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $17,300.00 |
| Fidelis Care | Platinum for Children (Exchange) | $3,557.03 |
| EmblemHealth | Select Care Silver Exchange | $10,476.25 |
| Anthem BCBS HealthPlus | Medicaid | $1,976.13 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $11,467.00 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $17,420.00 |
| MultiPlan | AXA Global Insurance | $11,841.60 |
| Healthfirst | Essential Plan 3-4 | $2,425.14 |
| Sedgwick | WTC Health Program - Northwell | $6,384.88 |
| Cigna | Evernorth Behavioral Health | $5,418.00 |
| CenterLight | PACE Medicare HMO | $6,512.58 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $2,074.93 |
| BCBS (Out of State) | Medicare | $6,384.88 |
| EmblemHealth | GHI Medicare PPO | $6,384.88 |
| MetroPlus | SilverPlus | $12,642.07 |
| EmblemHealth | HIP Access II | $12,325.00 |
| EmblemHealth | GHI PPO | $17,420.00 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $2,074.93 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $2,074.93 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $6,384.88 |
| MultiPlan | Meritain Health | $11,841.60 |
| MagnaCare | JIB Members | $13,547.57 |
| EmblemHealth | American Plan Administrators | $17,420.00 |
| EmblemHealth | Healthcare Partners Essential Plans | $2,371.35 |
| Fidelis Care | Essential Plan 1 | $4,248.67 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $1,976.13 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $6,384.88 |
| EmblemHealth | Select Care Bronze Exchange | $10,476.25 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $1,976.13 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $3,952.25 |
| MultiPlan | Diversified Admin Corp | $11,841.60 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $1,976.13 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $6,384.88 |
| Partners Health Plan | Medicaid MLTC | $1,976.13 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $1,976.13 |
| EmblemHealth | Essential Plan 1, 200-250 | $2,371.35 |
| EmblemHealth | Prime Bronze | $10,476.25 |
| MultiPlan | Teamsters Allied Benefits | $11,841.60 |
| EmblemHealth | Select Care Healthcare Partners | $10,476.25 |
| EmblemHealth | HIP | $12,325.00 |
| Fidelis Care | Native American (Exchange) | $3,557.03 |
| EmblemHealth | CMO Essential Plan 1 | $2,371.35 |
| Riverspring Health Plans | Medicare Advantage | $6,384.88 |
| Healthfirst | Senior Health Partners (MLTC) | $2,425.14 |
| Fidelis Care | Silver 250 (Exchange) | $3,557.03 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| VNS Health | Total (Medicare + Medicaid) | $6,384.88 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $13,840.00 |
| UnitedHealthcare | WTC Health Program | $6,384.88 |
| First Health | PPO | $11,841.60 |
| UnitedHealthcare - Oxford | Optum Health | $10,145.00 |
| EmblemHealth | Select Care Platinum Small Group | $10,476.25 |
| MultiPlan | Global Excel Management | $11,841.60 |
| UnitedHealthcare - Oxford | Liberty | $10,145.00 |
| Three Rivers | All Plans (Home-based Only) | $13,663.39 |
| HealthSmart | WTC Health Program - Stony Brook | $6,384.88 |
| Cigna | Open Access PPO | $5,418.00 |
| EmblemHealth | HIP Child Health Plus | $1,976.13 |
| MetroPlus | Essential Plan 3-4 | $1,976.13 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $17,300.00 |
| UnitedHealthcare | Optum Health | $11,467.00 |
| UnitedHealthcare | Student Resources | $11,467.00 |
| Senior Whole Health | All Plans | $6,384.88 |
| MagnaCare | PPO | $13,547.57 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| Cigna | Open Access HMO | $5,418.00 |
| EmblemHealth | Select Care Basic Exchange | $10,476.25 |
| EmblemHealth | GHI Behavioral Management Program | $17,420.00 |
| Aetna | Open Access HMO | $11,805.71 |
| UnitedHealthcare | Choice (NY Power Authority) | $11,467.00 |
| AgeWell (Deprecated) | Medicare Advantage | $6,384.88 |
| HealthSmart | WTC Health Program - Northwell | $6,384.88 |
| Fidelis Care | Gold (Exchange) | $3,557.03 |
| Aetna | HMO | $11,805.71 |
| UnitedHealthcare | HMO | $11,467.00 |
| GEHA | All Plans | $11,805.71 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $2,074.93 |
| MultiPlan | Mutual of Omaha | $11,841.60 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $1,976.13 |
| EmblemHealth | Essential Plan 2 | $2,371.35 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $2,074.93 |
| BCBS (Out of State) | HMO | $17,300.00 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $17,300.00 |
| HealthSmart | WTC Health Program - Mt. Sinai | $6,384.88 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $13,840.00 |
| Blue Cross Blue Shield | Pathway Enhanced | $2,371.35 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $6,384.88 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $2,371.35 |
| UnitedHealthcare | EPO | $11,467.00 |
| Fidelis Care | Silver (Exchange) | $3,557.03 |
| EmblemHealth | HIP compre health epo | $12,325.00 |
| Better Health Plan | All Plans | $12,752.49 |
| Fidelis Care | Child Health Plus (CHP) | $2,450.40 |
| EmblemHealth | GHI Medicare Supplement | $6,384.88 |
| CenterLight | PACE | $6,512.58 |
| Cigna | HMO | $5,418.00 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $2,074.93 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $6,384.88 |
| Aetna | Allied ASA PPO | $11,805.71 |
| Fidelis Care | Catastrophic (Exchange) | $3,557.03 |
| EmblemHealth | Vytra HMO | $12,325.00 |
| EmblemHealth | Select Care HMO | $10,476.25 |
| MetroPlus | Essential Plan 1 | $1,976.13 |
| Blue Cross Blue Shield | Hotel Trades Council | $17,300.00 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $17,420.00 |
| EmblemHealth | Select Care PPOu00a0 | $10,476.25 |
| EmblemHealth | CMO Essential Plan 3 | $1,976.13 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $12,325.00 |
| BCBS (Out of State) | EPO | $17,300.00 |
| MultiPlan | PPO | $11,841.60 |
| EmblemHealth | HIP VIP Medicare Bold | $6,384.88 |
| Aetna | Signature Administrators PPO | $11,805.71 |
| EmblemHealth | BCBS GHI Composite | $17,300.00 |
| EmblemHealth | HIP Healthcare Partners HMO | $12,325.00 |
| EmblemHealth | Select Care EPO | $10,476.25 |
| Aetna | Student Health | $11,805.71 |
| Aetna | Indemnity | $12,297.05 |
| Horizon BCBS | Direct | $17,300.00 |
| MultiPlan | US Life Insurance Co | $11,841.60 |
| UnitedHealthcare | POS | $11,467.00 |
| MetroPlus | Essential Plan 4 | $1,976.13 |
| EmblemHealth | HIP Prime Basic | $10,476.25 |
| Blue Cross Blue Shield | Federal Program | $17,300.00 |