Price of Interlaminar Lumbar/Sacral 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 Interlaminar Lumbar/Sacral Injection
Service Codes: CPT 62322, LOCAL 2020568
This procedure involves injecting medication into the space between the vertebrae in the lower back to relieve pain and inflammation. It is typically used to treat conditions affecting the lumbar and sacral regions of the spine.
Pricing Overview
Cash Price
$1,455.10
Median Price
$3,810.00
Price Range
$351.29 - $38,397.00
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| 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 |
| Veterans Choice | Veterans Choice Program | $1,043.92 |
| UnitedHealthcare - Oxford | Metro | $3,967.00 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $38,397.00 |
| MagnaCare | National Health Plan | $13,547.57 |
| EmblemHealth | HIP HMO | $24,010.00 |
| UnitedHealthcare | Optum Health | $5,044.00 |
| EmblemHealth | HIP compre health | $24,010.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $962.75 |
| UnitedHealthcare | Choice (NY Power Authority) | $5,044.00 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $1,043.92 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $713.15 |
| Aetna | Coresource ASA PPO | $6,346.39 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $1,043.92 |
| Partners Health Plan | Medicaid | $713.15 |
| Partners Health Plan | Medicare Advantage | $1,043.92 |
| EmblemHealth | Essential Plan 1, 200-250 | $855.78 |
| MultiPlan | PHCS Director Guild | $5,973.56 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $3,810.00 |
| EmblemHealth | GHI PPO | $38,397.00 |
| MetroPlus | Medicare Advantage | $1,043.92 |
| MultiPlan | AXA Global Insurance | $5,973.56 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $3,810.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $748.81 |
| Elderplan | All Plans | $1,043.92 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $1,043.92 |
| UnitedHealthcare | POMCO (UMR) | $5,044.00 |
| EmblemHealth | GHI composite | $38,397.00 |
| EmblemHealth | CMO Essential Plan 1 | $855.78 |
| VillageCareMAX | All Plans | $1,043.92 |
| EmblemHealth | IUOE Local 14-14B | $38,397.00 |
| EmblemHealth | HIP Access II | $24,010.00 |
| Aetna | Starmark ASA PPO | $6,346.39 |
| UnitedHealthcare | EPO | $5,044.00 |
| MultiPlan | Administrative Concepts | $5,973.56 |
| 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 |
| HealthSmart | WTC Health Program - NYU | $1,043.92 |
| BCBS (Out of State) | EPO | $3,810.00 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $1,043.92 |
| EmblemHealth | BCBS GHI Composite | $3,810.00 |
| Fidelis Care | Bronze for Children (Exchange) | $1,283.67 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $1,043.92 |
| Fidelis Care | Child Health Plus (CHP) | $884.31 |
| Horizon BCBS | Direct | $3,810.00 |
| CenterLight | Select | $1,064.80 |
| MetroPlus | SilverPlus | $2,066.96 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $5,044.00 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $1,043.92 |
| EmblemHealth | Prime Platinum | $20,408.50 |
| Fidelis Care | Gold (Exchange) | $1,283.67 |
| Sedgwick | WTC Health Program - Northwell | $1,043.92 |
| Blue Cross Blue Shield | Federal Program | $3,810.00 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $1,426.30 |
| BCBS (Out of State) | Medicare | $1,043.92 |
| EmblemHealth | GHI Medicare PPO | $1,043.92 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $3,810.00 |
| MultiPlan | Teamsters Allied Benefits | $5,973.56 |
| MultiPlan | Screen Actors Guild | $5,973.56 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $748.81 |
| EmblemHealth | HIP | $24,010.00 |
| EmblemHealth | Essential Plan 2 | $855.78 |
| Cigna | HMO | $8,968.00 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $713.15 |
| First Health | PPO | $5,973.56 |
| Blue Cross Blue Shield | Pathway Enhanced | $855.78 |
| Cigna | Great West HMO | $8,968.00 |
| Cigna | Wellfleet Student | $8,968.00 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $855.78 |
| MultiPlan | Global Excel Management | $5,973.56 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $3,048.00 |
| EmblemHealth | GHI Behavioral Management Program | $38,397.00 |
| Fidelis Care | Silver for Children (Exchange) | $1,283.67 |
| EmblemHealth | Prime Bronze | $20,408.50 |
| Cigna | Great West PPO | $8,968.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $3,048.00 |
| EmblemHealth | Select Care Healthcare Partners | $20,408.50 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $713.15 |
| MultiPlan | Healthnet of California | $5,973.56 |
| Fidelis Care | Platinum for Children (Exchange) | $1,283.67 |
| MultiPlan | PHCS | $5,973.56 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $1,043.92 |
| BCBS (Out of State) | POS | $3,810.00 |
| EmblemHealth | HIP Optum Health | $24,010.00 |
| Healthfirst | Personal Wellness Plan (HARP) | $351.29 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| EmblemHealth | HIP Montefiore | $24,010.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| VNS Health | Total (Medicare + Medicaid) | $1,043.92 |
| MetroPlus | PlatinumPlus | $2,066.96 |
| UnitedHealthcare | WTC Health Program | $1,043.92 |
| MetroPlus | GoldPlus | $2,066.96 |
| MultiPlan | Mutual of Omaha | $5,973.56 |
| EmblemHealth | Select Care Basic Exchange | $20,408.50 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| EmblemHealth | Select Care Bronze Small Group | $20,408.50 |
| Blue Cross Blue Shield | HMO | $3,810.00 |
| MetroPlus | MedPlus | $2,066.96 |
| 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 |
| Senior Whole Health | All Plans | $1,043.92 |
| Cigna | Tufts Health Plan | $8,968.00 |
| UnitedHealthcare | Student Resources | $5,044.00 |
| CenterLight | Direct | $1,064.80 |
| AgeWell (Deprecated) | Medicare Advantage | $1,043.92 |
| Aetna | Open Access HMO | $6,346.39 |
| HealthSmart | WTC Health Program - Northwell | $1,043.92 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $1,043.92 |
| 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 |
| MultiPlan | PPO | $5,973.56 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $24,010.00 |
| EmblemHealth | Select Care Platinum Exchange | $20,408.50 |
| Cigna | MVP-Cigna Network | $8,968.00 |
| Fidelis Care | Silver 250 (Exchange) | $1,283.67 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $8,968.00 |
| EmblemHealth | HIP Healthcare Partners HMO | $24,010.00 |
| EmblemHealth | American Plan Administrators | $38,397.00 |
| MultiPlan | US Life Insurance Co | $5,973.56 |
| Cigna | PPO | $8,968.00 |
| HealthSmart | WTC Health Program - Mt. Sinai | $1,043.92 |
| EmblemHealth | Select Care HMO | $20,408.50 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| EmblemHealth | Select Care PPOu00a0 | $20,408.50 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $713.15 |
| Blue Cross Blue Shield | Hotel Trades Council | $3,810.00 |
| EmblemHealth | GHI Medicare Supplement | $1,043.92 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $713.15 |
| MultiPlan | Meritain Health | $5,973.56 |
| VNS Health | MLTC (Medicaid) | $713.15 |
| EmblemHealth | Select Care EPO | $20,408.50 |
| EmblemHealth | CMO Essential Plan 3 | $713.15 |
| 1199SEIU Funds | Member Choice Home Care Select | $3,403.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $1,043.92 |
| 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 |
| MultiPlan | Guardian Life Insurance Co | $5,973.56 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $3,429.00 |
| Aetna | Indemnity | $6,203.31 |
| EmblemHealth | HIP Prime Basic | $20,408.50 |
| MultiPlan | Diversified Admin Corp | $5,973.56 |
| MetroPlus | Gold | $1,526.14 |
| MetroPlus | Essential Plan 4 | $713.15 |
| UnitedHealthcare - Oxford | Optum Health | $3,967.00 |
| EmblemHealth | HIP VIP Medicare Bold | $1,043.92 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $748.81 |
| EmblemHealth | Essential Plan 4 | $713.15 |
| MagnaCare | Direct Plus | $13,547.57 |
| Hamaspik | Medicare Advantage | $2,087.84 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $3,048.00 |
| UnitedHealthcare | POS | $5,044.00 |
| UnitedHealthcare | Medicare Advantage | $1,043.92 |
| Cigna | NALC PPO | $8,968.00 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $1,043.92 |
| Blue Cross Blue Shield | POS | $3,810.00 |
| UnitedHealthcare | PPO | $5,044.00 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $713.15 |
| Blue Cross Blue Shield | Global Transplants | $3,810.00 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $1,043.92 |
| MultiPlan | Global Health Management | $5,973.56 |
| Fidelis Care | Silver (Exchange) | $1,283.67 |
| MultiPlan | PHP Healthcare (Champus) | $5,973.56 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $1,043.92 |
| Cigna | Indemnity | $8,968.00 |
| Fidelis Care | Medicaid Managed Care | $884.31 |
| Healthfirst | Essential Plan 4 | $351.29 |
| Fidelis Care | Catastrophic (Exchange) | $1,283.67 |
| Cigna | LifeSOURCE | $8,968.00 |
| 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 |
| Cigna | Cigna Managed Care/POS | $8,968.00 |
| MetroPlus | Essential Plan 1-2, 200-250 | $713.15 |
| Blue Cross Blue Shield | Local 32 BJ | $3,810.00 |
| Anthem BCBS | Optum | $3,810.00 |
| EmblemHealth | HIP Medicare Supplement | $1,043.92 |
| 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 |
| Health Net | PPO | $5,973.56 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $748.81 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $1,043.92 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $3,810.00 |
| Riverspring Health Plans | Medicare Advantage | $1,043.92 |
| UnitedHealthcare | Core | $5,044.00 |
| Partners Health Plan | FIDA | $1,043.92 |
| Cigna | Evernorth Behavioral Health | $8,968.00 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $748.81 |
| UnitedHealthcare | Navigate | $5,044.00 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $1,043.92 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $3,810.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $748.81 |
| UnitedHealthcare | Charter | $5,044.00 |
| HealthSmart | WTC Health Program - Stony Brook | $1,043.92 |
| EmblemHealth | Essential Plan 3 | $713.15 |
| EmblemHealth | GHI Medicare HMO | $1,043.92 |
| Blue Cross Blue Shield | Blue Connection | $3,810.00 |
| MultiPlan | Kaiser Permanente | $5,973.56 |
| UnitedHealthcare - Oxford | Medicare Advantage | $1,043.92 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $38,397.00 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $855.78 |
| Blue Cross Blue Shield | Senior Care Supplemental | $1,043.92 |
| Fidelis Care | Essential Plan 3 | $884.31 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $713.15 |
| EmblemHealth | HIP VIP Medicare Affinity | $1,043.92 |
| VNS Health | EasyCare (Medicare Advantage) | $1,043.92 |
| Elderplan | FIDA | $1,043.92 |
| Anthem BCBS | All Plans | $3,810.00 |
| EmblemHealth | CMO Essential Plan 2 | $855.78 |
| EmblemHealth | Vytra HMO | $24,010.00 |
| MultiPlan | Humana Health Plan | $5,973.56 |
| MultiPlan | QualCare Inc | $5,973.56 |
| Aetna | HMO | $6,346.39 |
| Healthfirst | Essential Plan 3 | $351.29 |
| VNS Health | SelectHealth (Medicaid) | $713.15 |
| MultiPlan | Paramount Insurance | $5,973.56 |
| MagnaCare | JIB Members | $13,547.57 |
| EmblemHealth | Select Care Gold Small Group | $20,408.50 |
| Centers Plan for Healthy Living | All Plans | $1,043.92 |
| GEHA | All Plans | $6,346.39 |
| Humana | All Commercial Plans | $5,973.56 |
| EmblemHealth | CMO Essential Plan 4 | $713.15 |
| BCBS (Out of State) | Indemnity | $3,810.00 |
| Three Rivers | All Plans (Home-based Only) | $6,892.57 |
| EmblemHealth | HIP VIP Medicare Reserve | $1,043.92 |
| MetroPlus | Child Health Plus (CHP) | $713.15 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $1,043.92 |
| MetroPlus | GoldCare 2 | $1,526.14 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $713.15 |
| EmblemHealth | Select Care Gold Exchange | $20,408.50 |
| Blue Cross Blue Shield | UniCare | $3,810.00 |
| Blue Cross Blue Shield | Pathway | $855.78 |
| MultiPlan | Fiserv Health | $5,973.56 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $962.75 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $713.15 |
| MultiPlan | Nippon Life | $5,973.56 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $3,810.00 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $20,408.50 |
| Cigna | Open Access | $8,968.00 |
| Cigna | Open Access PPO | $8,968.00 |
| EmblemHealth | Prime Silver | $20,408.50 |
| Aetna | Allied ASA PPO | $6,346.39 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $3,429.00 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| EmblemHealth | Select Care Silver Exchange | $20,408.50 |
| Aetna | Medicare Advantage | $1,043.92 |
| Blue Cross Blue Shield | Blue Priority HMO | $3,810.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $3,810.00 |
| Cigna | Open Access HMO | $8,968.00 |
| 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 |
| Champus | Unysis Corp | $1,043.92 |
| Healthfirst | Personal Wellness Plan (HARP) | $713.15 |
| Blue Cross Blue Shield | Pathway X Enhanced | $855.78 |
| Aetna | Student Health | $6,346.39 |
| MultiPlan | Capital District Physicians Health Plan | $5,973.56 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $962.75 |
| EmblemHealth | GHI HMO | $38,397.00 |
| Fidelis Care | Gold for Children (Exchange) | $1,283.67 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $748.81 |
| UnitedHealthcare | Independent | $5,044.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $1,043.92 |
| MagnaCare | PPO | $13,547.57 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| EmblemHealth | HIP PPO | $24,010.00 |
| First Health | Commercial HMO | $6,433.06 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $1,043.92 |
| MultiPlan | PHCS Savility | $5,973.56 |
| Anthem BCBS HealthPlus | All Exchange Plans | $855.78 |
| Blue Cross Blue Shield | PPO | $3,810.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $1,043.92 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $3,810.00 |
| Cigna | Premier Plus | $8,968.00 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $748.81 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $1,043.92 |
| EmblemHealth | Bridge | $24,010.00 |
| Healthfirst | Child Health Plus (CHP) | $351.29 |
| Blue Cross Blue Shield | Blue Priority PPO | $3,810.00 |
| UnitedHealthcare | AARP | $1,043.92 |
| Anthem BCBS HealthPlus | Medicare Advantage | $1,043.92 |
| EmblemHealth | Select Care Bronze Exchange | $20,408.50 |
| UnitedHealthcare | POMCO (UMR) | $5,973.56 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $713.15 |
| CenterLight | PACE | $1,064.80 |
| EmblemHealth | Enhanced Care (Medicaid) | $713.15 |
| Aetna | POS | $6,346.39 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $713.15 |
| 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 |
| Partners Health Plan | Medicaid MLTC | $713.15 |
| Fidelis Care | Essential Plan 2 | $1,533.27 |
| VA Community Care Network | Optum | $1,043.92 |
| Aetna | Healthscope ASA PPO | $6,346.39 |
| Fidelis Care | Bronze (Exchange) | $1,283.67 |
| CenterLight | PACE Medicare HMO | $1,064.80 |
| Healthfirst | Senior Health Partners (MLTC) | $351.29 |
| EmblemHealth | HIP SmartStart | $24,010.00 |
| Anthem BCBS | Empire Plan, Value Options | $3,810.00 |
| EmblemHealth | WLNY-TV | $38,397.00 |
| HealthSmart | WTC Health Program - FDNY | $1,043.92 |
| MultiPlan | Principal Financial Group | $5,973.56 |
| MetroPlus | BronzePlus | $2,066.96 |
| Better Health Plan | All Plans | $6,433.06 |
| 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 |
| Aetna | Meritain Health | $6,346.39 |
| Fidelis Care | Wellcare Medicare Advantage | $1,043.92 |
| Fidelis Care | Platinum (Exchange) | $1,283.67 |
| EmblemHealth | HIP VIP Medicare Montefiore | $1,043.92 |
| UnitedHealthcare | Choice | $5,044.00 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $1,426.30 |
| HealthSmart | WTC Health Program - NYCHHC | $1,043.92 |
| 1199SEIU Funds | PPO | $3,403.00 |
| EmblemHealth | GHI EPO | $38,397.00 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $3,429.00 |
| 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 |