Price of Acupuncture Without Stimulation - 15 Minutes at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Acupuncture Without Stimulation - 15 Minutes
Service Codes: CPT 97810, LOCAL 2024477
This procedure involves the insertion of thin needles into specific points on the body to promote healing and relieve pain, without the use of electrical stimulation. It is typically used to address various health issues and enhance overall well-being.
Pricing Overview
Cash Price
$15.87
Median Price
$94.63
Price Range
$30.58 - $13,547.57
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| UnitedHealthcare | HMO | $7,107.00 |
| MultiPlan | Principal Financial Group | $65.17 |
| Fidelis Care | Gold (Exchange) | $162.22 |
| HealthSmart | WTC Health Program - Mt. Sinai | $30.58 |
| EmblemHealth | HIP Access II | $7,558.00 |
| EmblemHealth | Select Care Gold Exchange | $9,585.45 |
| EmblemHealth | Essential Plan 3 | $90.12 |
| MagnaCare | National Health Plan | $13,547.57 |
| EmblemHealth | GHI Medicare Supplement | $30.58 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $180.25 |
| MetroPlus | PlatinumPlus | $60.54 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $30.58 |
| MultiPlan | Mutual of Omaha | $65.17 |
| EmblemHealth | HIP PPO | $7,558.00 |
| Fidelis Care | Silver (Exchange) | $162.22 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $3,810.00 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $3,810.00 |
| EmblemHealth | HIP VIP Medicare Bold | $30.58 |
| Healthfirst | Essential Plan 4 | $31.41 |
| MetroPlus | MedPlus | $60.54 |
| Fidelis Care | Catastrophic (Exchange) | $162.22 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $94.63 |
| Aetna | HMO | $50.13 |
| EmblemHealth | HIP | $7,558.00 |
| Healthfirst | Personal Wellness Plan (HARP) | $31.41 |
| GEHA | All Plans | $50.13 |
| CenterLight | Select | $31.19 |
| EmblemHealth | American Plan Administrators | $11,277.00 |
| UnitedHealthcare | Medicare Advantage | $30.58 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $3,048.00 |
| Cigna | MVP-Cigna Network | $5,418.00 |
| UnitedHealthcare | POS | $7,107.00 |
| MetroPlus | Child Health Plus (CHP) | $90.12 |
| Healthfirst | Medicaid Managed Care | $31.41 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $30.58 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $90.12 |
| BCBS (Out of State) | EPO | $3,810.00 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $90.12 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $30.58 |
| UnitedHealthcare | PPO | $7,107.00 |
| Hamaspik | Medicare Advantage | $45.86 |
| MultiPlan | AXA Global Insurance | $65.17 |
| EmblemHealth | BCBS GHI Composite | $3,810.00 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $94.63 |
| Blue Cross Blue Shield | Pathway Enhanced | $108.15 |
| Horizon BCBS | Direct | $3,810.00 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $108.15 |
| Blue Cross Blue Shield | Federal Program | $3,810.00 |
| CenterLight | PACE | $31.19 |
| Healthfirst | Essential Plan 1 | $395.16 |
| EmblemHealth | HIP Optum Health | $7,558.00 |
| EmblemHealth | HIP Montefiore | $7,558.00 |
| Fidelis Care | Medicaid Managed Care | $111.75 |
| UnitedHealthcare | Golden Rule Insurance | $7,107.00 |
| Aetna | Allied ASA PPO | $50.13 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $3,810.00 |
| MultiPlan | Meritain Health | $65.17 |
| EmblemHealth | HIP Medicare Supplement | $30.58 |
| Anthem BCBS HealthPlus | Medicaid | $90.12 |
| UnitedHealthcare - Oxford | Optum Health | $244.43 |
| Fidelis Care | Essential Plan 4 | $111.75 |
| UnitedHealthcare - Oxford | Liberty | $244.43 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $30.58 |
| Aetna | Signature Administrators PPO | $50.13 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $94.63 |
| MetroPlus | Gold | $90.12 |
| 1199SEIU Funds | PPO | $152.10 |
| MultiPlan | Diversified Admin Corp | $65.17 |
| Partners Health Plan | FIDA | $30.58 |
| Amida Care | Medicaid Managed Care | $34.90 |
| UnitedHealthcare | Core | $7,107.00 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $30.58 |
| Aetna | Student Health | $50.13 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $3,048.00 |
| UnitedHealthcare | Navigate | $7,107.00 |
| Healthfirst | Essential Plan 3 | $31.41 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $3,048.00 |
| Cigna | NALC PPO | $5,418.00 |
| UnitedHealthcare | Charter | $7,107.00 |
| EmblemHealth | GHI Medicare HMO | $30.58 |
| MultiPlan | Teamsters Allied Benefits | $65.17 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $180.25 |
| Cigna | Great West HMO | $5,418.00 |
| Cigna | Wellfleet Student | $5,418.00 |
| EmblemHealth | HIP compre health epo | $7,558.00 |
| UnitedHealthcare - Oxford | Medicare Advantage | $30.58 |
| BCBS (Out of State) | POS | $3,810.00 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $121.67 |
| Blue Cross Blue Shield | Senior Care Supplemental | $30.58 |
| EmblemHealth | HIP VIP Medicare Affinity | $30.58 |
| Cigna | Great West PPO | $5,418.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| EmblemHealth | HIP POS | $7,558.00 |
| First Health | PPO | $65.17 |
| VNS Health | EasyCare (Medicare Advantage) | $30.58 |
| Elderplan | FIDA | $30.58 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $90.12 |
| MultiPlan | Global Excel Management | $65.17 |
| Fidelis Care | Essential Plan 3 | $111.75 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $90.12 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $121.67 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $46.10 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $7,558.00 |
| EmblemHealth | CMO Essential Plan 2 | $108.15 |
| VNS Health | MLTC (Medicaid) | $46.10 |
| Aetna | Chesterfield Resources ASA PPO | $50.13 |
| Aetna | PPO | $50.13 |
| EmblemHealth | HIP Healthcare Partners HMO | $7,558.00 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $90.12 |
| Centers Plan for Healthy Living | All Plans | $30.58 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $108.15 |
| CenterLight | Direct | $31.19 |
| Blue Cross Blue Shield | HMO | $3,810.00 |
| Aetna | Healthscope ASA PPO | $50.13 |
| EmblemHealth | HIP VIP Medicare Reserve | $30.58 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $121.67 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $30.58 |
| Blue Cross Blue Shield | Healthy New York | $3,810.00 |
| Healthfirst | Platinum Leaf (Exchange) | $395.16 |
| Aetna | Open Access Elect Choice EPO | $50.13 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $9,585.45 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $121.67 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $11,277.00 |
| Aetna | Meritain Health | $50.13 |
| Fidelis Care | Gold for Children (Exchange) | $162.22 |
| First Health | Commercial HMO | $70.18 |
| EmblemHealth | Prime Silver | $9,585.45 |
| 1199SEIU Funds | Member Choice Home Care Select | $152.10 |
| EmblemHealth | Select Care Silver Exchange | $9,585.45 |
| EmblemHealth | HIP Child Health Plus | $90.12 |
| MetroPlus | Essential Plan 3-4 | $90.12 |
| Blue Cross Blue Shield | Pathway | $108.15 |
| BCBS (Out of State) | HMO | $3,810.00 |
| Blue Cross Blue Shield | EPO | $3,810.00 |
| Cigna | Tufts Health Plan | $5,418.00 |
| Aetna | Nippon Life ASA PPO | $50.13 |
| Aetna | Medicare Advantage | $30.58 |
| Champus | Unysis Corp | $30.58 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| Aetna | Global National Transplant | $50.13 |
| Aetna | Christian Brothers ASA PPO | $50.13 |
| Fidelis Care | Essential Plan 1 | $193.76 |
| Blue Cross Blue Shield | Hotel Trades Council | $3,810.00 |
| Blue Cross Blue Shield | Pathway X Enhanced | $108.15 |
| Healthfirst | Bronze Leaf (Exchange) | $395.16 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $5,418.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $30.58 |
| UnitedHealthcare | Independent | $7,107.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $30.58 |
| Cigna | PPO | $5,418.00 |
| BCBS (Out of State) | POS (Suitcase Logo) | $3,810.00 |
| MultiPlan | PPO | $65.17 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $30.58 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $3,429.00 |
| Aetna | Indemnity | $67.68 |
| Aetna | Coresource ASA PPO | $50.13 |
| Fidelis Care | Bronze (Exchange) | $162.22 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $30.58 |
| Anthem BCBS HealthPlus | All Exchange Plans | $108.15 |
| EmblemHealth | Select Care Bronze Exchange | $9,585.45 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $94.63 |
| Better Health Plan | All Plans | $70.18 |
| MultiPlan | US Life Insurance Co | $65.17 |
| UnitedHealthcare | AARP | $30.58 |
| Anthem BCBS HealthPlus | Medicare Advantage | $30.58 |
| MetroPlus | GoldCare 2 | $90.12 |
| Cigna | Open Access | $5,418.00 |
| EmblemHealth | Select Care Silver Small Group | $9,585.45 |
| Fidelis Care | Platinum (Exchange) | $162.22 |
| MagnaCare | Direct Plus | $13,547.57 |
| EmblemHealth | Prime Bronze | $9,585.45 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $3,048.00 |
| MetroPlus | Essential Plan 1 | $90.12 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $94.63 |
| EmblemHealth | Select Care Healthcare Partners | $9,585.45 |
| Aetna | Starmark ASA PPO | $50.13 |
| EmblemHealth | CMO Essential Plan 3 | $90.12 |
| Blue Cross Blue Shield | POS | $3,810.00 |
| MultiPlan | Guardian Life Insurance Co | $65.17 |
| Blue Cross Blue Shield | Global Transplants | $3,810.00 |
| VA Community Care Network | Optum | $30.58 |
| Aetna | Wellnet ASA PPO | $50.13 |
| MetroPlus | Medicaid Managed Care | $90.12 |
| EmblemHealth | GHI HMO | $11,277.00 |
| EmblemHealth | Select Care Platinum Small Group | $9,585.45 |
| HealthSmart | WTC Health Program - FDNY | $30.58 |
| MetroPlus | Essential Plan 4 | $90.12 |
| VNS Health | SelectHealth (Medicaid) | $46.10 |
| Fidelis Care | Wellcare Medicare Advantage | $30.58 |
| Healthfirst | Essential Plan 1-2, 200-250 | $395.16 |
| EmblemHealth | HIP VIP Medicare Montefiore | $30.58 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $3,429.00 |
| HealthSmart | WTC Health Program - NYCHHC | $30.58 |
| UnitedHealthcare | Choice | $7,107.00 |
| Blue Cross Blue Shield | Local 32 BJ | $3,810.00 |
| Cigna | Premier Plus | $5,418.00 |
| Anthem BCBS | Optum | $3,810.00 |
| EmblemHealth | Select Care Basic Exchange | $9,585.45 |
| 1199SEIU Funds | Home Care Benefit Fund | $152.10 |
| Cigna | Indemnity | $5,418.00 |
| MultiPlan | PHCS Savility | $65.17 |
| BCBS (Out of State) | PPO | $3,810.00 |
| MultiPlan | Global Health Management | $65.17 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $108.15 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $90.12 |
| Cigna | LifeSOURCE | $5,418.00 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $3,810.00 |
| EmblemHealth | Vytra HMO | $7,558.00 |
| MultiPlan | PHP Healthcare (Champus) | $65.17 |
| Cigna | Cigna Managed Care/POS | $5,418.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $94.63 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $3,810.00 |
| Veterans Choice | Veterans Choice Program | $30.58 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $94.63 |
| EmblemHealth | Healthcare Partners Essential Plans | $108.15 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $94.63 |
| Blue Cross Blue Shield | Blue Connection | $3,810.00 |
| UnitedHealthcare | Optum Health | $7,107.00 |
| Health Net | PPO | $65.17 |
| Cigna | Evernorth Behavioral Health | $5,418.00 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $30.58 |
| Healthfirst | Essential Plan 3-4 | $31.41 |
| UnitedHealthcare | Choice (NY Power Authority) | $7,107.00 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $90.12 |
| AgeWell (Deprecated) | Medicaid Managed Care | $46.10 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $30.58 |
| Partners Health Plan | Medicare Advantage | $30.58 |
| MetroPlus | Medicare Advantage | $30.58 |
| Fidelis Care | Bronze for Children (Exchange) | $162.22 |
| Healthfirst | Personal Wellness Plan (HARP) | $46.10 |
| Elderplan | All Plans | $30.58 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $30.58 |
| EmblemHealth | GHI EPO | $11,277.00 |
| EmblemHealth | Essential Plan 1, 200-250 | $108.15 |
| VillageCareMAX | All Plans | $30.58 |
| Anthem BCBS | All Plans | $3,810.00 |
| UnitedHealthcare | POMCO (UMR) | $7,107.00 |
| EmblemHealth | Select Care HMO | $9,585.45 |
| MetroPlus | BronzePlus | $60.54 |
| Healthfirst | Green Leaf (Exchange) | $395.16 |
| EmblemHealth | Select Care PPOu00a0 | $9,585.45 |
| EmblemHealth | CMO Essential Plan 1 | $108.15 |
| MagnaCare | JIB Members | $13,547.57 |
| Three Rivers | All Plans (Home-based Only) | $75.20 |
| Healthfirst | Essential Plan 2 | $395.16 |
| MultiPlan | Kaiser Permanente | $65.17 |
| Healthfirst | Child Health Plus (CHP) | $31.41 |
| EmblemHealth | Select Care EPO | $9,585.45 |
| BCBS (Out of State) | Indemnity | $3,810.00 |
| HealthSmart | WTC Health Program - NYU | $30.58 |
| UnitedHealthcare | EPO | $7,107.00 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $30.58 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $11,277.00 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $90.12 |
| MetroPlus | GoldPlus | $60.54 |
| EmblemHealth | HIP Prime Basic | $9,585.45 |
| UnitedHealthcare - Oxford | Metro | $244.43 |
| EmblemHealth | Prime Platinum | $9,585.45 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $30.58 |
| MultiPlan | Humana Health Plan | $65.17 |
| Blue Cross Blue Shield | UniCare | $3,810.00 |
| MultiPlan | QualCare Inc | $65.17 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $30.58 |
| Healthfirst | Silver Leaf (Exchange) | $395.16 |
| Fidelis Care | Silver for Children (Exchange) | $162.22 |
| MultiPlan | Paramount Insurance | $65.17 |
| Sedgwick | WTC Health Program - Northwell | $30.58 |
| Aetna | Open Access HMO | $50.13 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $7,107.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $3,810.00 |
| Fidelis Care | Child Health Plus (CHP) | $111.75 |
| EmblemHealth | GHI PPO | $11,277.00 |
| EmblemHealth | Bridge | $7,558.00 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $3,429.00 |
| Fidelis Care | Platinum for Children (Exchange) | $162.22 |
| Partners Health Plan | Medicaid MLTC | $46.10 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| BCBS (Out of State) | Medicare | $30.58 |
| Humana | All Commercial Plans | $65.17 |
| EmblemHealth | GHI composite | $11,277.00 |
| Healthfirst | Senior Health Partners (MLTC) | $31.41 |
| EmblemHealth | GHI Medicare PPO | $30.58 |
| Healthfirst | Gold Leaf (Exchange) | $395.16 |
| Blue Cross Blue Shield | Blue Priority HMO | $3,810.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $3,810.00 |
| EmblemHealth | CMO Essential Plan 4 | $90.12 |
| EmblemHealth | IUOE Local 14-14B | $11,277.00 |
| Cigna | Open Access PPO | $5,418.00 |
| MultiPlan | PHCS Director Guild | $65.17 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $90.12 |
| EmblemHealth | Essential Plan 2 | $108.15 |
| MultiPlan | Fiserv Health | $65.17 |
| MultiPlan | Nippon Life | $65.17 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $30.58 |
| MagnaCare | PPO | $13,547.57 |
| Cigna | Open Access HMO | $5,418.00 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $90.12 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| EmblemHealth | HIP SmartStart | $7,558.00 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $94.63 |
| Blue Cross Blue Shield | PPO | $3,810.00 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $3,810.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $30.58 |
| MultiPlan | Administrative Concepts | $65.17 |
| Blue Cross Blue Shield | Blue Priority PPO | $3,810.00 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $94.63 |
| EmblemHealth | Essential Plan 4 | $90.12 |
| Riverspring Health Plans | Medicare Advantage | $30.58 |
| MultiPlan | Capital District Physicians Health Plan | $65.17 |
| CenterLight | PACE Medicare HMO | $31.19 |
| EmblemHealth | HIP Access I | $7,558.00 |
| Fidelis Care | Essential Plan 2 | $193.76 |
| VNS Health | Total (Medicare + Medicaid) | $30.58 |
| UnitedHealthcare | WTC Health Program | $30.58 |
| MetroPlus | SilverPlus | $60.54 |
| EmblemHealth | Select Care Bronze Small Group | $9,585.45 |
| Fidelis Care | Native American (Exchange) | $162.22 |
| Partners Health Plan | Medicaid | $46.10 |
| HealthSmart | WTC Health Program - Stony Brook | $30.58 |
| Cigna | HMO | $5,418.00 |
| Fidelis Care | Silver 250 (Exchange) | $162.22 |
| EmblemHealth | HIP EPO | $7,558.00 |
| EmblemHealth | GHI Behavioral Management Program | $11,277.00 |
| Anthem BCBS | Empire Plan, Value Options | $3,810.00 |
| MultiPlan | Screen Actors Guild | $65.17 |
| EmblemHealth | HIP HMO | $7,558.00 |
| UnitedHealthcare | POMCO (UMR) | $65.17 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $3,048.00 |
| EmblemHealth | HIP compre health | $7,558.00 |
| Senior Whole Health | All Plans | $30.58 |
| MetroPlus | Essential Plan 3 | $90.12 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $90.12 |
| EmblemHealth | WLNY-TV | $11,277.00 |
| EmblemHealth | Enhanced Care (Medicaid) | $90.12 |
| MetroPlus | Essential Plan 1-2, 200-250 | $90.12 |
| AgeWell (Deprecated) | Medicare Advantage | $30.58 |
| UnitedHealthcare | Student Resources | $7,107.00 |
| UnitedHealthcare - Oxford | Freedom | $244.43 |
| HealthSmart | WTC Health Program - Northwell | $30.58 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $30.58 |
| EmblemHealth | Prime Gold | $9,585.45 |
| MetroPlus | Essential Plan 2 | $90.12 |
| EmblemHealth | Select Care Gold Small Group | $9,585.45 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $3,429.00 |
| Aetna | POS | $50.13 |
| EmblemHealth | Select Care Platinum Exchange | $9,585.45 |
| Blue Cross Blue Shield | Indemnity | $3,810.00 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $3,810.00 |
| MultiPlan | Healthnet of California | $65.17 |
| MultiPlan | PHCS | $65.17 |