Price of Fat Grafting Procedure at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Fat Grafting Procedure
Service Codes: CPT 15773
This procedure involves transferring a small amount of your own fat (25 cc or less) from one area of your body to another to enhance volume, improve contour, or restore lost tissue.
Pricing Overview
Cash Price
$80,962.17
(Based on gross charge; uninsured discount not provided)Median Price
$6,762.00
Price Range
$538.22 - $68,008.22
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Aetna | Wellnet ASA PPO | $8,124.66 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $12,174.00 |
| MetroPlus | Essential Plan 4 | $1,678.52 |
| BCBS (Out of State) | POS | $13,527.00 |
| Fidelis Care | Wellcare Medicare Advantage | $2,114.18 |
| Blue Cross Blue Shield | Local 32 BJ | $13,527.00 |
| EmblemHealth | HIP VIP Medicare Montefiore | $2,114.18 |
| UnitedHealthcare - Oxford | Freedom | $5,318.00 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $3,357.04 |
| Anthem BCBS | Optum | $13,527.00 |
| MultiPlan | Diversified Admin Corp | $63,150.49 |
| EmblemHealth | HIP Access II | $7,558.00 |
| EmblemHealth | Select Care Gold Exchange | $9,585.45 |
| EmblemHealth | Essential Plan 4 | $1,678.52 |
| HealthSmart | WTC Health Program - NYCHHC | $2,114.18 |
| BCBS (Out of State) | PPO | $13,527.00 |
| MetroPlus | SilverPlus | $4,186.07 |
| MagnaCare | National Health Plan | $13,547.57 |
| Fidelis Care | Bronze (Exchange) | $3,021.33 |
| CenterLight | PACE Medicare HMO | $2,156.46 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $1,678.52 |
| MultiPlan | Teamsters Allied Benefits | $63,150.49 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $13,527.00 |
| UnitedHealthcare | POS | $6,762.00 |
| Fidelis Care | Platinum (Exchange) | $3,021.33 |
| EmblemHealth | HIP PPO | $7,558.00 |
| 1199SEIU Funds | Home Care Benefit Fund | $7,895.00 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $2,014.22 |
| Blue Cross Blue Shield | HMO | $13,527.00 |
| First Health | PPO | $63,150.49 |
| Veterans Choice | Veterans Choice Program | $2,114.18 |
| Healthfirst | Essential Plan 3 | $538.22 |
| Blue Cross Blue Shield | Blue Connection | $13,527.00 |
| MultiPlan | Global Excel Management | $63,150.49 |
| MetroPlus | Essential Plan 3 | $1,678.52 |
| Blue Cross Blue Shield | Healthy New York | $13,527.00 |
| MetroPlus | Essential Plan 1-2, 200-250 | $1,678.52 |
| Fidelis Care | Essential Plan 1 | $3,608.81 |
| Fidelis Care | Medicaid Managed Care | $2,081.36 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $2,114.18 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $12,174.00 |
| Amida Care | Medicaid Managed Care | $1,678.52 |
| EmblemHealth | HIP | $7,558.00 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $2,114.18 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $1,762.44 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $1,678.52 |
| EmblemHealth | American Plan Administrators | $11,277.00 |
| Partners Health Plan | Medicare Advantage | $2,114.18 |
| Cigna | MVP-Cigna Network | $5,418.00 |
| MetroPlus | Medicare Advantage | $2,114.18 |
| Fidelis Care | Essential Plan 4 | $2,081.36 |
| Elderplan | All Plans | $2,114.18 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $2,114.18 |
| VillageCareMAX | All Plans | $2,114.18 |
| Blue Cross Blue Shield | EPO | $13,527.00 |
| EmblemHealth | Essential Plan 3 | $1,678.52 |
| EmblemHealth | HIP Optum Health | $7,558.00 |
| UnitedHealthcare | Navigate | $6,762.00 |
| EmblemHealth | HIP Montefiore | $7,558.00 |
| HealthSmart | WTC Health Program - NYU | $2,114.18 |
| UnitedHealthcare | Charter | $6,762.00 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $2,114.18 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $1,678.52 |
| Blue Cross Blue Shield | UniCare | $13,527.00 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $10,822.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $1,762.44 |
| Blue Cross Blue Shield | Pathway X Enhanced | $2,014.22 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $2,114.18 |
| BCBS (Out of State) | POS (Suitcase Logo) | $13,527.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $13,527.00 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $2,114.18 |
| MetroPlus | MedPlus | $4,186.07 |
| Fidelis Care | Essential Plan 3 | $2,081.36 |
| Sedgwick | WTC Health Program - Northwell | $2,114.18 |
| VNS Health | SelectHealth (Medicaid) | $1,678.52 |
| BCBS (Out of State) | Medicare | $2,114.18 |
| EmblemHealth | GHI Medicare PPO | $2,114.18 |
| Cigna | NALC PPO | $5,418.00 |
| UnitedHealthcare - Oxford | Optum Health | $5,318.00 |
| Aetna | Open Access HMO | $8,124.66 |
| Fidelis Care | Bronze for Children (Exchange) | $3,021.33 |
| Healthfirst | Child Health Plus (CHP) | $538.22 |
| EmblemHealth | CMO Essential Plan 4 | $1,678.52 |
| UnitedHealthcare - Oxford | Liberty | $5,318.00 |
| UnitedHealthcare | HMO | $6,762.00 |
| Cigna | Great West HMO | $5,418.00 |
| Cigna | Wellfleet Student | $5,418.00 |
| EmblemHealth | HIP compre health epo | $7,558.00 |
| CenterLight | Select | $2,156.46 |
| MetroPlus | Child Health Plus (CHP) | $1,678.52 |
| Aetna | HMO | $8,124.66 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| Fidelis Care | Gold (Exchange) | $3,021.33 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $1,678.52 |
| Cigna | Great West PPO | $5,418.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| GEHA | All Plans | $8,124.66 |
| Blue Cross Blue Shield | POS | $13,527.00 |
| MultiPlan | US Life Insurance Co | $63,150.49 |
| Blue Cross Blue Shield | Global Transplants | $13,527.00 |
| EmblemHealth | HIP POS | $7,558.00 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $1,678.52 |
| Blue Cross Blue Shield | PPO | $13,527.00 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $1,678.52 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $13,527.00 |
| Blue Cross Blue Shield | Blue Priority PPO | $13,527.00 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $7,558.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $2,114.18 |
| CenterLight | PACE | $2,156.46 |
| EmblemHealth | HIP Healthcare Partners HMO | $7,558.00 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $12,174.00 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| MultiPlan | Guardian Life Insurance Co | $63,150.49 |
| AgeWell (Deprecated) | Medicaid Managed Care | $1,678.52 |
| Anthem BCBS HealthPlus | Medicaid | $1,678.52 |
| Fidelis Care | Silver for Children (Exchange) | $3,021.33 |
| Aetna | Allied ASA PPO | $8,124.66 |
| Healthfirst | Personal Wellness Plan (HARP) | $1,678.52 |
| Fidelis Care | Platinum for Children (Exchange) | $3,021.33 |
| VNS Health | Total (Medicare + Medicaid) | $2,114.18 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $13,527.00 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $2,014.22 |
| UnitedHealthcare | WTC Health Program | $2,114.18 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $9,585.45 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $11,277.00 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $10,822.00 |
| EmblemHealth | Prime Silver | $9,585.45 |
| Aetna | Signature Administrators PPO | $8,124.66 |
| Anthem BCBS | Empire Plan, Value Options | $13,527.00 |
| EmblemHealth | Select Care Silver Exchange | $9,585.45 |
| Fidelis Care | Child Health Plus (CHP) | $2,081.36 |
| EmblemHealth | CMO Essential Plan 2 | $2,014.22 |
| Aetna | Student Health | $8,124.66 |
| UnitedHealthcare | Independent | $6,762.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $1,762.44 |
| MultiPlan | PHCS Savility | $63,150.49 |
| Cigna | Tufts Health Plan | $5,418.00 |
| MultiPlan | Global Health Management | $63,150.49 |
| UnitedHealthcare | PPO | $6,762.00 |
| EmblemHealth | Healthcare Partners Essential Plans | $2,014.22 |
| Senior Whole Health | All Plans | $2,114.18 |
| MultiPlan | PHP Healthcare (Champus) | $63,150.49 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $1,678.52 |
| Better Health Plan | All Plans | $68,008.22 |
| AgeWell (Deprecated) | Medicare Advantage | $2,114.18 |
| EmblemHealth | Enhanced Care (Medicaid) | $1,678.52 |
| HealthSmart | WTC Health Program - Northwell | $2,114.18 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $2,114.18 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| Blue Cross Blue Shield | Indemnity | $13,527.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $2,266.00 |
| MetroPlus | Essential Plan 2 | $1,678.52 |
| UnitedHealthcare | Golden Rule Insurance | $6,762.00 |
| Anthem BCBS | All Plans | $13,527.00 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $5,418.00 |
| Partners Health Plan | Medicaid MLTC | $1,678.52 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $1,762.44 |
| Cigna | PPO | $5,418.00 |
| Aetna | POS | $8,124.66 |
| Health Net | PPO | $63,150.49 |
| Blue Cross Blue Shield | Pathway | $2,014.22 |
| CenterLight | Direct | $2,156.46 |
| Aetna | Chesterfield Resources ASA PPO | $8,124.66 |
| EmblemHealth | Select Care Bronze Exchange | $9,585.45 |
| HealthSmart | WTC Health Program - Mt. Sinai | $2,114.18 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $10,822.00 |
| BCBS (Out of State) | Indemnity | $13,527.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $10,822.00 |
| UnitedHealthcare | Core | $6,762.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $1,762.44 |
| EmblemHealth | GHI Medicare Supplement | $2,114.18 |
| Fidelis Care | Native American (Exchange) | $3,021.33 |
| MultiPlan | Principal Financial Group | $63,150.49 |
| Cigna | Open Access | $5,418.00 |
| EmblemHealth | Select Care Silver Small Group | $9,585.45 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $2,114.18 |
| Fidelis Care | Silver 250 (Exchange) | $3,021.33 |
| MagnaCare | Direct Plus | $13,547.57 |
| Healthfirst | Essential Plan 3-4 | $538.22 |
| EmblemHealth | Prime Bronze | $9,585.45 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $13,527.00 |
| EmblemHealth | Select Care Healthcare Partners | $9,585.45 |
| Aetna | Open Access Elect Choice EPO | $8,124.66 |
| MultiPlan | Kaiser Permanente | $63,150.49 |
| MetroPlus | Essential Plan 3-4 | $1,678.52 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $12,174.00 |
| Hamaspik | Medicare Advantage | $4,228.36 |
| EmblemHealth | HIP VIP Medicare Bold | $2,114.18 |
| EmblemHealth | GHI HMO | $11,277.00 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $3,357.04 |
| EmblemHealth | Select Care Platinum Small Group | $9,585.45 |
| Anthem BCBS HealthPlus | All Exchange Plans | $2,014.22 |
| Blue Cross Blue Shield | Blue Priority HMO | $13,527.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $13,527.00 |
| Aetna | Nippon Life ASA PPO | $8,124.66 |
| MultiPlan | Humana Health Plan | $63,150.49 |
| MultiPlan | QualCare Inc | $63,150.49 |
| MultiPlan | Paramount Insurance | $63,150.49 |
| UnitedHealthcare | Medicare Advantage | $2,114.18 |
| Fidelis Care | Essential Plan 2 | $3,608.81 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $2,114.18 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $2,114.18 |
| Cigna | Premier Plus | $5,418.00 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $1,678.52 |
| Humana | All Commercial Plans | $63,150.49 |
| Aetna | Christian Brothers ASA PPO | $8,124.66 |
| EmblemHealth | Select Care Basic Exchange | $9,585.45 |
| Cigna | Indemnity | $5,418.00 |
| Partners Health Plan | Medicaid | $1,678.52 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $1,762.44 |
| Cigna | LifeSOURCE | $5,418.00 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $2,114.18 |
| EmblemHealth | Vytra HMO | $7,558.00 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $1,762.44 |
| Cigna | Cigna Managed Care/POS | $5,418.00 |
| MultiPlan | PHCS Director Guild | $63,150.49 |
| MetroPlus | GoldCare 2 | $1,678.52 |
| First Health | Commercial HMO | $68,008.22 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $1,762.44 |
| MultiPlan | Fiserv Health | $63,150.49 |
| Healthfirst | Senior Health Partners (MLTC) | $538.22 |
| MultiPlan | Nippon Life | $63,150.49 |
| Fidelis Care | Silver (Exchange) | $3,021.33 |
| EmblemHealth | HIP Medicare Supplement | $2,114.18 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $2,266.00 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $2,114.18 |
| Riverspring Health Plans | Medicare Advantage | $2,114.18 |
| Cigna | Evernorth Behavioral Health | $5,418.00 |
| Fidelis Care | Catastrophic (Exchange) | $3,021.33 |
| MultiPlan | Administrative Concepts | $63,150.49 |
| Partners Health Plan | FIDA | $2,114.18 |
| MetroPlus | Gold | $1,678.52 |
| Aetna | Starmark ASA PPO | $8,124.66 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $2,114.18 |
| Aetna | Indemnity | $2,114.18 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $2,266.00 |
| EmblemHealth | GHI EPO | $11,277.00 |
| MultiPlan | Capital District Physicians Health Plan | $63,150.49 |
| EmblemHealth | Select Care HMO | $9,585.45 |
| HealthSmart | WTC Health Program - Stony Brook | $2,114.18 |
| EmblemHealth | GHI Medicare HMO | $2,114.18 |
| EmblemHealth | Select Care PPOu00a0 | $9,585.45 |
| 1199SEIU Funds | PPO | $7,895.00 |
| MagnaCare | JIB Members | $13,547.57 |
| UnitedHealthcare - Oxford | Medicare Advantage | $2,114.18 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $6,762.00 |
| Blue Cross Blue Shield | Senior Care Supplemental | $2,114.18 |
| EmblemHealth | Select Care EPO | $9,585.45 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $2,266.00 |
| EmblemHealth | HIP VIP Medicare Affinity | $2,114.18 |
| VNS Health | EasyCare (Medicare Advantage) | $2,114.18 |
| Elderplan | FIDA | $2,114.18 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $11,277.00 |
| MultiPlan | Screen Actors Guild | $63,150.49 |
| EmblemHealth | HIP Prime Basic | $9,585.45 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $1,678.52 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $13,527.00 |
| UnitedHealthcare | POMCO (UMR) | $63,150.49 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $1,678.52 |
| EmblemHealth | Prime Platinum | $9,585.45 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $10,822.00 |
| EmblemHealth | Essential Plan 1, 200-250 | $2,014.22 |
| Centers Plan for Healthy Living | All Plans | $2,114.18 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $1,678.52 |
| EmblemHealth | GHI PPO | $11,277.00 |
| EmblemHealth | CMO Essential Plan 1 | $2,014.22 |
| EmblemHealth | Bridge | $7,558.00 |
| EmblemHealth | HIP VIP Medicare Reserve | $2,114.18 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| Aetna | PPO | $8,124.66 |
| EmblemHealth | GHI composite | $11,277.00 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $2,114.18 |
| UnitedHealthcare - Oxford | Metro | $5,318.00 |
| MultiPlan | Healthnet of California | $63,150.49 |
| MultiPlan | PHCS | $63,150.49 |
| EmblemHealth | IUOE Local 14-14B | $11,277.00 |
| Aetna | Healthscope ASA PPO | $8,124.66 |
| Cigna | Open Access PPO | $5,418.00 |
| BCBS (Out of State) | HMO | $13,527.00 |
| MetroPlus | BronzePlus | $4,186.07 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $13,527.00 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $1,762.44 |
| EmblemHealth | HIP Child Health Plus | $1,678.52 |
| Aetna | Meritain Health | $8,124.66 |
| UnitedHealthcare | Choice | $6,762.00 |
| MagnaCare | PPO | $13,547.57 |
| Cigna | Open Access HMO | $5,418.00 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| Aetna | Medicare Advantage | $2,114.18 |
| EmblemHealth | HIP SmartStart | $7,558.00 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $1,762.44 |
| MultiPlan | Mutual of Omaha | $63,150.49 |
| MetroPlus | PlatinumPlus | $4,186.07 |
| 1199SEIU Funds | Member Choice Home Care Select | $7,895.00 |
| MetroPlus | GoldPlus | $4,186.07 |
| Champus | Unysis Corp | $2,114.18 |
| Blue Cross Blue Shield | Hotel Trades Council | $13,527.00 |
| BCBS (Out of State) | EPO | $13,527.00 |
| EmblemHealth | BCBS GHI Composite | $13,527.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $2,114.18 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $2,114.18 |
| EmblemHealth | Essential Plan 2 | $2,014.22 |
| Aetna | Global National Transplant | $8,124.66 |
| EmblemHealth | HIP Access I | $7,558.00 |
| Horizon BCBS | Direct | $13,527.00 |
| UnitedHealthcare | Optum Health | $6,762.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $2,114.18 |
| UnitedHealthcare | Student Resources | $6,762.00 |
| Blue Cross Blue Shield | Pathway Enhanced | $2,014.22 |
| EmblemHealth | Select Care Bronze Small Group | $9,585.45 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $2,014.22 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $2,114.18 |
| Blue Cross Blue Shield | Federal Program | $13,527.00 |
| UnitedHealthcare | Choice (NY Power Authority) | $6,762.00 |
| UnitedHealthcare | AARP | $2,114.18 |
| Cigna | HMO | $5,418.00 |
| Anthem BCBS HealthPlus | Medicare Advantage | $2,114.18 |
| Fidelis Care | Gold for Children (Exchange) | $3,021.33 |
| EmblemHealth | HIP EPO | $7,558.00 |
| EmblemHealth | GHI Behavioral Management Program | $11,277.00 |
| Healthfirst | Essential Plan 4 | $538.22 |
| MultiPlan | AXA Global Insurance | $63,150.49 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $13,527.00 |
| MultiPlan | PPO | $63,150.49 |
| Aetna | Coresource ASA PPO | $8,124.66 |
| EmblemHealth | HIP HMO | $7,558.00 |
| UnitedHealthcare | POMCO (UMR) | $6,762.00 |
| EmblemHealth | HIP compre health | $7,558.00 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $1,678.52 |
| Healthfirst | Personal Wellness Plan (HARP) | $538.22 |
| EmblemHealth | WLNY-TV | $11,277.00 |
| MetroPlus | Essential Plan 1 | $1,678.52 |
| VNS Health | MLTC (Medicaid) | $1,678.52 |
| Healthfirst | Medicaid Managed Care | $538.22 |
| EmblemHealth | CMO Essential Plan 3 | $1,678.52 |
| EmblemHealth | Prime Gold | $9,585.45 |
| VA Community Care Network | Optum | $2,114.18 |
| EmblemHealth | Select Care Gold Small Group | $9,585.45 |
| MetroPlus | Medicaid Managed Care | $1,678.52 |
| EmblemHealth | Select Care Platinum Exchange | $9,585.45 |
| UnitedHealthcare | EPO | $6,762.00 |
| MultiPlan | Meritain Health | $63,150.49 |
| HealthSmart | WTC Health Program - FDNY | $2,114.18 |