Price of Spinal Lumbar Injection at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Spinal Lumbar Injection
Service Codes: CPT 62270, LOCAL 2020561
This procedure involves injecting medication into the lumbar spine to relieve pain and inflammation. It is often used to diagnose or treat conditions affecting the lower back.
Pricing Overview
Cash Price
$1,194.47
Median Price
$3,810.00
Price Range
$351.29 - $27,095.15
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Cigna | Cigna Managed Care/POS | $24,409.00 |
| HealthSmart | WTC Health Program - Mt. Sinai | $789.32 |
| Aetna | Global National Transplant | $6,346.39 |
| EmblemHealth | Healthcare Partners Essential Plans | $855.78 |
| EmblemHealth | HIP EPO | $24,010.00 |
| Aetna | Christian Brothers ASA PPO | $6,346.39 |
| UnitedHealthcare - Oxford | Metro | $3,967.00 |
| EmblemHealth | HIP HMO | $24,010.00 |
| MagnaCare | Cement & Concrete Workers District Council | $27,095.15 |
| UnitedHealthcare | Optum Health | $5,044.00 |
| EmblemHealth | GHI Medicare Supplement | $789.32 |
| Cigna | Evernorth Behavioral Health | $24,409.00 |
| EmblemHealth | HIP compre health | $24,010.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $962.75 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $789.32 |
| UnitedHealthcare | Choice (NY Power Authority) | $5,044.00 |
| MultiPlan | Mutual of Omaha | $4,903.61 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $713.15 |
| Aetna | Coresource ASA PPO | $6,346.39 |
| Partners Health Plan | Medicaid | $713.15 |
| EmblemHealth | Essential Plan 1, 200-250 | $855.78 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $3,810.00 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $3,810.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $748.81 |
| UnitedHealthcare | POMCO (UMR) | $5,044.00 |
| EmblemHealth | CMO Essential Plan 1 | $855.78 |
| EmblemHealth | HIP Access II | $24,010.00 |
| Aetna | Starmark ASA PPO | $6,346.39 |
| UnitedHealthcare | EPO | $5,044.00 |
| EmblemHealth | American Plan Administrators | $11,277.00 |
| UnitedHealthcare | Medicare Advantage | $789.32 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $3,048.00 |
| MetroPlus | Essential Plan 1 | $713.15 |
| Healthfirst | Essential Plan 3-4 | $351.29 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $748.81 |
| Aetna | Wellnet ASA PPO | $6,346.39 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $789.32 |
| BCBS (Out of State) | EPO | $3,810.00 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $789.32 |
| MultiPlan | PPO | $4,903.61 |
| EmblemHealth | BCBS GHI Composite | $3,810.00 |
| Fidelis Care | Bronze for Children (Exchange) | $1,283.67 |
| Fidelis Care | Child Health Plus (CHP) | $884.31 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $789.32 |
| Horizon BCBS | Direct | $3,810.00 |
| MultiPlan | US Life Insurance Co | $4,903.61 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $5,044.00 |
| EmblemHealth | Prime Platinum | $20,408.50 |
| Fidelis Care | Gold (Exchange) | $1,283.67 |
| Blue Cross Blue Shield | Federal Program | $3,810.00 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $1,426.30 |
| MagnaCare | Direct Plus Preferred | $27,095.15 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $3,810.00 |
| EmblemHealth | HIP Medicare Supplement | $789.32 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $748.81 |
| EmblemHealth | HIP | $24,010.00 |
| Cigna | Open Access PPO | $24,409.00 |
| EmblemHealth | Essential Plan 2 | $855.78 |
| MultiPlan | Guardian Life Insurance Co | $4,903.61 |
| Riverspring Health Plans | Medicare Advantage | $789.32 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $713.15 |
| Blue Cross Blue Shield | Pathway Enhanced | $855.78 |
| MagnaCare | Direct Plus | $27,095.15 |
| Partners Health Plan | FIDA | $789.32 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $855.78 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $3,048.00 |
| Fidelis Care | Silver for Children (Exchange) | $1,283.67 |
| Aetna | Indemnity | $5,092.21 |
| Three Rivers | All Plans (Home-based Only) | $5,658.01 |
| EmblemHealth | Prime Bronze | $20,408.50 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $3,048.00 |
| MagnaCare | PPO | $27,095.15 |
| EmblemHealth | Select Care Healthcare Partners | $20,408.50 |
| MagnaCare | American Plan Administrators | $27,095.15 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $713.15 |
| HealthSmart | WTC Health Program - Stony Brook | $789.32 |
| Fidelis Care | Platinum for Children (Exchange) | $1,283.67 |
| UnitedHealthcare - Oxford | Medicare Advantage | $789.32 |
| BCBS (Out of State) | POS | $3,810.00 |
| EmblemHealth | HIP Optum Health | $24,010.00 |
| Healthfirst | Personal Wellness Plan (HARP) | $351.29 |
| EmblemHealth | HIP Montefiore | $24,010.00 |
| CenterLight | PACE Medicare HMO | $805.10 |
| MultiPlan | PHCS Savility | $4,903.61 |
| MultiPlan | Global Health Management | $4,903.61 |
| EmblemHealth | HIP VIP Medicare Affinity | $789.32 |
| AgeWell (Deprecated) | Medicare Advantage | $789.32 |
| HealthSmart | WTC Health Program - Northwell | $789.32 |
| MultiPlan | PHP Healthcare (Champus) | $4,903.61 |
| EmblemHealth | Select Care Basic Exchange | $20,408.50 |
| Centers Plan for Healthy Living | All Plans | $789.32 |
| First Health | Commercial HMO | $5,280.81 |
| Cigna | HMO | $24,409.00 |
| EmblemHealth | Select Care Bronze Small Group | $20,408.50 |
| MetroPlus | BronzePlus | $1,562.85 |
| Blue Cross Blue Shield | HMO | $3,810.00 |
| Health Net | PPO | $4,903.61 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $789.32 |
| 1199SEIU Funds | Home Care Benefit Fund | $3,403.00 |
| Blue Cross Blue Shield | Healthy New York | $3,810.00 |
| EmblemHealth | HIP compre health epo | $24,010.00 |
| UnitedHealthcare | Student Resources | $5,044.00 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $11,277.00 |
| Aetna | Open Access HMO | $6,346.39 |
| EmblemHealth | HIP POS | $24,010.00 |
| BCBS (Out of State) | HMO | $3,810.00 |
| EmblemHealth | Prime Gold | $20,408.50 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $855.78 |
| UnitedHealthcare | HMO | $5,044.00 |
| Fidelis Care | Native American (Exchange) | $1,283.67 |
| Blue Cross Blue Shield | EPO | $3,810.00 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $24,010.00 |
| MultiPlan | Kaiser Permanente | $4,903.61 |
| Aetna | Medicare Advantage | $789.32 |
| EmblemHealth | Select Care Platinum Exchange | $20,408.50 |
| EmblemHealth | HIP VIP Medicare Bold | $789.32 |
| Fidelis Care | Silver 250 (Exchange) | $1,283.67 |
| EmblemHealth | HIP Healthcare Partners HMO | $24,010.00 |
| Champus | Unysis Corp | $789.32 |
| EmblemHealth | Select Care HMO | $20,408.50 |
| Better Health Plan | All Plans | $5,280.81 |
| MagnaCare | JIB Members | $27,095.15 |
| EmblemHealth | Select Care PPOu00a0 | $20,408.50 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $713.15 |
| MultiPlan | Humana Health Plan | $4,903.61 |
| Blue Cross Blue Shield | Hotel Trades Council | $3,810.00 |
| MultiPlan | QualCare Inc | $4,903.61 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $713.15 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $789.32 |
| VNS Health | MLTC (Medicaid) | $713.15 |
| EmblemHealth | Select Care EPO | $20,408.50 |
| EmblemHealth | CMO Essential Plan 3 | $713.15 |
| MultiPlan | Paramount Insurance | $4,903.61 |
| 1199SEIU Funds | Member Choice Home Care Select | $3,403.00 |
| Fidelis Care | Essential Plan 1 | $1,533.27 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $748.81 |
| BCBS (Out of State) | POS (Suitcase Logo) | $3,810.00 |
| MetroPlus | Medicaid Managed Care | $713.15 |
| Humana | All Commercial Plans | $4,903.61 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $3,429.00 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $789.32 |
| EmblemHealth | HIP Prime Basic | $20,408.50 |
| MetroPlus | Gold | $1,526.14 |
| MetroPlus | Essential Plan 4 | $713.15 |
| UnitedHealthcare | AARP | $789.32 |
| UnitedHealthcare - Oxford | Optum Health | $3,967.00 |
| MultiPlan | PHCS Director Guild | $4,903.61 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $748.81 |
| EmblemHealth | Essential Plan 4 | $713.15 |
| MultiPlan | Fiserv Health | $4,903.61 |
| Cigna | MVP-Cigna Network | $24,409.00 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $3,048.00 |
| UnitedHealthcare | POS | $5,044.00 |
| MultiPlan | Nippon Life | $4,903.61 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $789.32 |
| Blue Cross Blue Shield | POS | $3,810.00 |
| UnitedHealthcare | PPO | $5,044.00 |
| VA Community Care Network | Optum | $789.32 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $713.15 |
| Blue Cross Blue Shield | Global Transplants | $3,810.00 |
| Fidelis Care | Silver (Exchange) | $1,283.67 |
| EmblemHealth | GHI HMO | $11,277.00 |
| MetroPlus | SilverPlus | $1,562.85 |
| CenterLight | PACE | $805.10 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $789.32 |
| MultiPlan | Administrative Concepts | $4,903.61 |
| HealthSmart | WTC Health Program - FDNY | $789.32 |
| Fidelis Care | Medicaid Managed Care | $884.31 |
| Healthfirst | Essential Plan 4 | $351.29 |
| Fidelis Care | Catastrophic (Exchange) | $1,283.67 |
| EmblemHealth | GHI Medicare HMO | $789.32 |
| Fidelis Care | Wellcare Medicare Advantage | $789.32 |
| MultiPlan | Capital District Physicians Health Plan | $4,903.61 |
| UnitedHealthcare | Golden Rule Insurance | $5,044.00 |
| MetroPlus | Essential Plan 3 | $713.15 |
| UnitedHealthcare - Oxford | Freedom | $3,967.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $3,429.00 |
| Fidelis Care | Essential Plan 4 | $884.31 |
| MetroPlus | Essential Plan 1-2, 200-250 | $713.15 |
| HealthSmart | WTC Health Program - NYCHHC | $789.32 |
| Blue Cross Blue Shield | Local 32 BJ | $3,810.00 |
| Blue Cross Blue Shield | Senior Care Supplemental | $789.32 |
| Anthem BCBS | Optum | $3,810.00 |
| Amida Care | Medicaid Managed Care | $713.15 |
| Healthfirst | Medicaid Managed Care | $351.29 |
| BCBS (Out of State) | PPO | $3,810.00 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $713.15 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $748.81 |
| VNS Health | EasyCare (Medicare Advantage) | $789.32 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $3,810.00 |
| Elderplan | FIDA | $789.32 |
| UnitedHealthcare | Core | $5,044.00 |
| MultiPlan | Screen Actors Guild | $4,903.61 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $748.81 |
| UnitedHealthcare | Navigate | $5,044.00 |
| UnitedHealthcare | POMCO (UMR) | $4,903.61 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $3,810.00 |
| Cigna | NALC PPO | $24,409.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $748.81 |
| UnitedHealthcare | Charter | $5,044.00 |
| Veterans Choice | Veterans Choice Program | $789.32 |
| EmblemHealth | Essential Plan 3 | $713.15 |
| Cigna | Great West HMO | $24,409.00 |
| Cigna | Wellfleet Student | $24,409.00 |
| EmblemHealth | HIP VIP Medicare Reserve | $789.32 |
| Blue Cross Blue Shield | Blue Connection | $3,810.00 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $789.32 |
| Cigna | Great West PPO | $24,409.00 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $855.78 |
| MagnaCare | Independent Care Plus | $27,095.15 |
| Fidelis Care | Essential Plan 3 | $884.31 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $713.15 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $789.32 |
| Partners Health Plan | Medicare Advantage | $789.32 |
| MetroPlus | Medicare Advantage | $789.32 |
| MultiPlan | Healthnet of California | $4,903.61 |
| MagnaCare | Capital District Physicians Health Plan | $27,095.15 |
| MultiPlan | PHCS | $4,903.61 |
| MetroPlus | PlatinumPlus | $1,562.85 |
| Elderplan | All Plans | $789.32 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $789.32 |
| MetroPlus | GoldPlus | $1,562.85 |
| EmblemHealth | GHI EPO | $11,277.00 |
| MultiPlan | Principal Financial Group | $4,903.61 |
| VillageCareMAX | All Plans | $789.32 |
| Anthem BCBS | All Plans | $3,810.00 |
| EmblemHealth | CMO Essential Plan 2 | $855.78 |
| EmblemHealth | Vytra HMO | $24,010.00 |
| CenterLight | Direct | $805.10 |
| Aetna | HMO | $6,346.39 |
| Healthfirst | Essential Plan 3 | $351.29 |
| VNS Health | SelectHealth (Medicaid) | $713.15 |
| EmblemHealth | Select Care Gold Small Group | $20,408.50 |
| GEHA | All Plans | $6,346.39 |
| MetroPlus | MedPlus | $1,562.85 |
| EmblemHealth | CMO Essential Plan 4 | $713.15 |
| HealthSmart | WTC Health Program - NYU | $789.32 |
| BCBS (Out of State) | Indemnity | $3,810.00 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $789.32 |
| MetroPlus | Child Health Plus (CHP) | $713.15 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $11,277.00 |
| MetroPlus | GoldCare 2 | $1,526.14 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $713.15 |
| MagnaCare | National Health Plan | $27,095.15 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $789.32 |
| EmblemHealth | Select Care Gold Exchange | $20,408.50 |
| Blue Cross Blue Shield | UniCare | $3,810.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $789.32 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $789.32 |
| Blue Cross Blue Shield | Pathway | $855.78 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $962.75 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $713.15 |
| Sedgwick | WTC Health Program - Northwell | $789.32 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $20,408.50 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $3,810.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $789.32 |
| EmblemHealth | GHI PPO | $11,277.00 |
| EmblemHealth | Prime Silver | $20,408.50 |
| Aetna | Allied ASA PPO | $6,346.39 |
| Cigna | Tufts Health Plan | $24,409.00 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $3,429.00 |
| BCBS (Out of State) | Medicare | $789.32 |
| EmblemHealth | GHI composite | $11,277.00 |
| EmblemHealth | Select Care Silver Exchange | $20,408.50 |
| EmblemHealth | GHI Medicare PPO | $789.32 |
| Blue Cross Blue Shield | Blue Priority HMO | $3,810.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $3,810.00 |
| Anthem BCBS HealthPlus | Medicare Advantage | $789.32 |
| EmblemHealth | IUOE Local 14-14B | $11,277.00 |
| CenterLight | Select | $805.10 |
| AgeWell (Deprecated) | Medicaid Managed Care | $713.15 |
| UnitedHealthcare - Oxford | Liberty | $3,967.00 |
| Anthem BCBS HealthPlus | Medicaid | $713.15 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $962.75 |
| Aetna | Signature Administrators PPO | $6,346.39 |
| MultiPlan | AXA Global Insurance | $4,903.61 |
| Healthfirst | Personal Wellness Plan (HARP) | $713.15 |
| Blue Cross Blue Shield | Pathway X Enhanced | $855.78 |
| Aetna | Student Health | $6,346.39 |
| MagnaCare | JIB Employees Security Fund | $27,095.15 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $962.75 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $24,409.00 |
| Fidelis Care | Gold for Children (Exchange) | $1,283.67 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $748.81 |
| UnitedHealthcare | Independent | $5,044.00 |
| EmblemHealth | HIP PPO | $24,010.00 |
| Cigna | PPO | $24,409.00 |
| Anthem BCBS HealthPlus | All Exchange Plans | $855.78 |
| Blue Cross Blue Shield | PPO | $3,810.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $789.32 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $3,810.00 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $748.81 |
| EmblemHealth | Bridge | $24,010.00 |
| Healthfirst | Child Health Plus (CHP) | $351.29 |
| Blue Cross Blue Shield | Blue Priority PPO | $3,810.00 |
| MultiPlan | Meritain Health | $4,903.61 |
| EmblemHealth | Select Care Bronze Exchange | $20,408.50 |
| Cigna | Open Access | $24,409.00 |
| EmblemHealth | HIP VIP Medicare Montefiore | $789.32 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $713.15 |
| EmblemHealth | Enhanced Care (Medicaid) | $713.15 |
| Aetna | POS | $6,346.39 |
| MultiPlan | Diversified Admin Corp | $4,903.61 |
| VNS Health | Total (Medicare + Medicaid) | $789.32 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $713.15 |
| UnitedHealthcare | WTC Health Program | $789.32 |
| Aetna | Chesterfield Resources ASA PPO | $6,346.39 |
| Aetna | PPO | $6,346.39 |
| EmblemHealth | Select Care Silver Small Group | $20,408.50 |
| MetroPlus | Essential Plan 2 | $713.15 |
| Cigna | Open Access HMO | $24,409.00 |
| Partners Health Plan | Medicaid MLTC | $713.15 |
| Fidelis Care | Essential Plan 2 | $1,533.27 |
| Aetna | Healthscope ASA PPO | $6,346.39 |
| Hamaspik | Medicare Advantage | $1,578.63 |
| MultiPlan | Teamsters Allied Benefits | $4,903.61 |
| Fidelis Care | Bronze (Exchange) | $1,283.67 |
| Healthfirst | Senior Health Partners (MLTC) | $351.29 |
| EmblemHealth | HIP SmartStart | $24,010.00 |
| EmblemHealth | GHI Behavioral Management Program | $11,277.00 |
| Anthem BCBS | Empire Plan, Value Options | $3,810.00 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $3,048.00 |
| Aetna | Open Access Elect Choice EPO | $6,346.39 |
| EmblemHealth | Select Care Platinum Small Group | $20,408.50 |
| Senior Whole Health | All Plans | $789.32 |
| Aetna | Meritain Health | $6,346.39 |
| First Health | PPO | $4,903.61 |
| EmblemHealth | WLNY-TV | $11,277.00 |
| Fidelis Care | Platinum (Exchange) | $1,283.67 |
| MultiPlan | Global Excel Management | $4,903.61 |
| UnitedHealthcare | Choice | $5,044.00 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $1,426.30 |
| Cigna | Premier Plus | $24,409.00 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $789.32 |
| 1199SEIU Funds | PPO | $3,403.00 |
| Cigna | Indemnity | $24,409.00 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $3,429.00 |
| Cigna | LifeSOURCE | $24,409.00 |
| Blue Cross Blue Shield | Indemnity | $3,810.00 |
| EmblemHealth | HIP Access I | $24,010.00 |
| Aetna | Nippon Life ASA PPO | $6,346.39 |
| MetroPlus | Essential Plan 3-4 | $713.15 |
| EmblemHealth | HIP Child Health Plus | $713.15 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $3,810.00 |