Price of Neuroelectrode Implantation at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Neuroelectrode Implantation
Service Codes: LOCAL 2020572, CPT 63650
This procedure involves the surgical placement of neuroelectrodes in the spine to help manage chronic pain by delivering electrical impulses to the nervous system.
Pricing Overview
Cash Price
$8,127.50
Median Price
$24,649.00
Price Range
$3,358.39 - $47,720.00
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Centers Plan for Healthy Living | All Plans | $8,089.72 |
| EmblemHealth | HIP Healthcare Partners HMO | $30,894.00 |
| BCBS (Out of State) | Indemnity | $24,649.00 |
| Healthfirst | Essential Plan 3-4 | $3,358.39 |
| EmblemHealth | HIP VIP Medicare Reserve | $8,089.72 |
| Fidelis Care | Gold for Children (Exchange) | $22,727.90 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $13,257.94 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $8,089.72 |
| Aetna | Allied ASA PPO | $33,464.56 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $13,257.94 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $15,151.93 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $13,257.94 |
| MultiPlan | AXA Global Insurance | $33,365.54 |
| EmblemHealth | Select Care Bronze Exchange | $26,259.90 |
| 1199SEIU Funds | Member Choice Home Care Select | $5,493.00 |
| UnitedHealthcare | HMO | $25,891.00 |
| Aetna | Signature Administrators PPO | $33,464.56 |
| Blue Cross Blue Shield | Blue Priority HMO | $24,649.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $24,649.00 |
| EmblemHealth | GHI composite | $43,663.00 |
| EmblemHealth | CMO Essential Plan 2 | $15,151.93 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $19,719.00 |
| Aetna | Medicare Advantage | $8,089.72 |
| Aetna | Student Health | $33,464.56 |
| EmblemHealth | HIP VIP Medicare Bold | $8,089.72 |
| Cigna | Open Access PPO | $47,720.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $19,719.00 |
| EmblemHealth | Select Care Silver Small Group | $26,259.90 |
| EmblemHealth | Healthcare Partners Essential Plans | $15,151.93 |
| CenterLight | Select | $8,251.51 |
| EmblemHealth | Prime Bronze | $26,259.90 |
| Champus | Unysis Corp | $8,089.72 |
| EmblemHealth | Select Care Healthcare Partners | $26,259.90 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $19,719.00 |
| Fidelis Care | Bronze (Exchange) | $22,727.90 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $8,089.72 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $8,089.72 |
| Blue Cross Blue Shield | PPO | $24,649.00 |
| EmblemHealth | Select Care Platinum Small Group | $26,259.90 |
| EmblemHealth | GHI HMO | $43,663.00 |
| EmblemHealth | Essential Plan 1, 200-250 | $15,151.93 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $24,649.00 |
| MultiPlan | Diversified Admin Corp | $33,365.54 |
| Fidelis Care | Medicaid Managed Care | $15,657.00 |
| MagnaCare | National Health Plan | $35,224.32 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $12,575.47 |
| Better Health Plan | All Plans | $35,932.12 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $8,089.72 |
| MetroPlus | Essential Plan 1 | $12,575.47 |
| Healthfirst | Personal Wellness Plan (HARP) | $3,358.39 |
| Aetna | POS | $33,464.56 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $12,626.61 |
| Fidelis Care | Essential Plan 4 | $15,657.00 |
| UnitedHealthcare | AARP | $8,089.72 |
| Aetna | Chesterfield Resources ASA PPO | $33,464.56 |
| MultiPlan | Teamsters Allied Benefits | $33,365.54 |
| EmblemHealth | Select Care Basic Exchange | $26,259.90 |
| UnitedHealthcare | Independent | $25,891.00 |
| First Health | PPO | $33,365.54 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $8,089.72 |
| UnitedHealthcare | PPO | $25,891.00 |
| Cigna | HMO | $47,720.00 |
| MultiPlan | Global Excel Management | $33,365.54 |
| VA Community Care Network | Optum | $8,089.72 |
| Aetna | Open Access Elect Choice EPO | $33,464.56 |
| Anthem BCBS | Empire Plan, Value Options | $24,649.00 |
| UnitedHealthcare - Oxford | Metro | $21,842.00 |
| Aetna | Meritain Health | $33,464.56 |
| EmblemHealth | HIP SmartStart | $30,894.00 |
| EmblemHealth | HIP Child Health Plus | $12,626.61 |
| Blue Cross Blue Shield | Pathway | $15,090.56 |
| HealthSmart | WTC Health Program - FDNY | $8,089.72 |
| Fidelis Care | Essential Plan 2 | $27,147.21 |
| MultiPlan | Healthnet of California | $33,365.54 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $13,257.94 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $12,575.47 |
| EmblemHealth | WLNY-TV | $43,663.00 |
| EmblemHealth | GHI Medicare HMO | $8,089.72 |
| Fidelis Care | Wellcare Medicare Advantage | $8,089.72 |
| Aetna | Nippon Life ASA PPO | $33,464.56 |
| Fidelis Care | Essential Plan 3 | $15,657.00 |
| HealthSmart | WTC Health Program - NYCHHC | $8,089.72 |
| Blue Cross Blue Shield | Senior Care Supplemental | $8,089.72 |
| Blue Cross Blue Shield | Indemnity | $24,649.00 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $24,649.00 |
| 1199SEIU Funds | Home Care Benefit Fund | $5,493.00 |
| VNS Health | EasyCare (Medicare Advantage) | $8,089.72 |
| Aetna | Christian Brothers ASA PPO | $33,464.56 |
| Elderplan | FIDA | $8,089.72 |
| EmblemHealth | GHI EPO | $43,663.00 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $13,257.94 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $19,719.00 |
| MultiPlan | Mutual of Omaha | $33,365.54 |
| EmblemHealth | Select Care PPOu00a0 | $26,259.90 |
| Hamaspik | Medicare Advantage | $16,179.43 |
| CenterLight | Direct | $8,251.51 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $12,575.47 |
| Anthem BCBS HealthPlus | All Exchange Plans | $15,090.56 |
| Veterans Choice | Veterans Choice Program | $8,089.72 |
| Aetna | Coresource ASA PPO | $33,464.56 |
| EmblemHealth | HIP compre health | $30,894.00 |
| UnitedHealthcare | Choice | $25,891.00 |
| Fidelis Care | Bronze for Children (Exchange) | $22,727.90 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $43,663.00 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $8,089.72 |
| EmblemHealth | Prime Platinum | $26,259.90 |
| BCBS (Out of State) | HMO | $24,649.00 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $24,649.00 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $8,089.72 |
| Fidelis Care | Gold (Exchange) | $22,727.90 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $24,649.00 |
| Partners Health Plan | Medicare Advantage | $8,089.72 |
| MetroPlus | Medicare Advantage | $8,089.72 |
| VNS Health | MLTC (Medicaid) | $12,626.61 |
| EmblemHealth | CMO Essential Plan 3 | $12,626.61 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $19,719.00 |
| First Health | Commercial HMO | $35,932.12 |
| Elderplan | All Plans | $8,089.72 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $8,089.72 |
| VillageCareMAX | All Plans | $8,089.72 |
| MetroPlus | Medicaid Managed Care | $12,626.61 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $22,184.00 |
| MagnaCare | Independent Care Plus | $35,224.32 |
| Aetna | Starmark ASA PPO | $33,464.56 |
| MultiPlan | PPO | $33,365.54 |
| EmblemHealth | GHI PPO | $43,663.00 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $12,575.47 |
| MagnaCare | Capital District Physicians Health Plan | $35,224.32 |
| MetroPlus | Essential Plan 4 | $12,626.61 |
| Cigna | MVP-Cigna Network | $47,720.00 |
| Blue Cross Blue Shield | Hotel Trades Council | $24,649.00 |
| MultiPlan | US Life Insurance Co | $33,365.54 |
| EmblemHealth | IUOE Local 14-14B | $43,663.00 |
| EmblemHealth | American Plan Administrators | $43,663.00 |
| BCBS (Out of State) | EPO | $24,649.00 |
| EmblemHealth | Essential Plan 4 | $12,626.61 |
| HealthSmart | WTC Health Program - NYU | $8,089.72 |
| EmblemHealth | BCBS GHI Composite | $24,649.00 |
| Fidelis Care | Child Health Plus (CHP) | $15,657.00 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $8,089.72 |
| Fidelis Care | Silver for Children (Exchange) | $22,727.90 |
| MultiPlan | Meritain Health | $33,365.54 |
| MagnaCare | Cement & Concrete Workers District Council | $35,224.32 |
| Horizon BCBS | Direct | $24,649.00 |
| Fidelis Care | Catastrophic (Exchange) | $22,727.90 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $8,089.72 |
| Fidelis Care | Platinum for Children (Exchange) | $22,727.90 |
| EmblemHealth | HIP PPO | $30,894.00 |
| UnitedHealthcare | POMCO (UMR) | $25,891.00 |
| Blue Cross Blue Shield | Federal Program | $24,649.00 |
| MultiPlan | Guardian Life Insurance Co | $33,365.54 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $8,089.72 |
| Healthfirst | Essential Plan 4 | $3,358.39 |
| Sedgwick | WTC Health Program - Northwell | $8,089.72 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $8,089.72 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $24,649.00 |
| EmblemHealth | Bridge | $30,894.00 |
| BCBS (Out of State) | Medicare | $8,089.72 |
| EmblemHealth | CMO Essential Plan 1 | $15,151.93 |
| EmblemHealth | GHI Medicare PPO | $8,089.72 |
| Anthem BCBS HealthPlus | Medicare Advantage | $8,089.72 |
| MetroPlus | Essential Plan 3 | $12,626.61 |
| Healthfirst | Medicaid Managed Care | $3,358.39 |
| Aetna | PPO | $33,464.56 |
| MetroPlus | BronzePlus | $16,017.64 |
| Amida Care | Medicaid Managed Care | $12,626.61 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $13,257.94 |
| Aetna | Healthscope ASA PPO | $33,464.56 |
| EmblemHealth | Select Care Bronze Small Group | $26,259.90 |
| MetroPlus | Gold | $26,911.50 |
| MultiPlan | PHCS Savility | $33,365.54 |
| MultiPlan | Global Health Management | $33,365.54 |
| Cigna | NALC PPO | $47,720.00 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $25,891.00 |
| MetroPlus | PlatinumPlus | $16,017.64 |
| MultiPlan | PHP Healthcare (Champus) | $33,365.54 |
| MetroPlus | GoldPlus | $16,017.64 |
| Cigna | Great West HMO | $47,720.00 |
| Cigna | Wellfleet Student | $47,720.00 |
| MagnaCare | JIB Employees Security Fund | $35,224.32 |
| EmblemHealth | GHI Behavioral Management Program | $43,663.00 |
| BCBS (Out of State) | POS | $24,649.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $8,089.72 |
| Blue Cross Blue Shield | Local 32 BJ | $24,649.00 |
| EmblemHealth | HIP Optum Health | $30,894.00 |
| Cigna | Great West PPO | $47,720.00 |
| Anthem BCBS | Optum | $24,649.00 |
| EmblemHealth | HIP Montefiore | $30,894.00 |
| CenterLight | PACE Medicare HMO | $8,251.51 |
| EmblemHealth | Essential Plan 3 | $12,626.61 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $13,257.94 |
| EmblemHealth | Prime Gold | $26,259.90 |
| MetroPlus | MedPlus | $16,017.64 |
| EmblemHealth | HIP VIP Medicare Montefiore | $8,089.72 |
| EmblemHealth | Select Care Gold Small Group | $26,259.90 |
| Health Net | PPO | $33,365.54 |
| Fidelis Care | Native American (Exchange) | $22,727.90 |
| EmblemHealth | Select Care Platinum Exchange | $26,259.90 |
| VNS Health | Total (Medicare + Medicaid) | $8,089.72 |
| EmblemHealth | Essential Plan 2 | $15,151.93 |
| EmblemHealth | HIP Access I | $30,894.00 |
| Fidelis Care | Silver 250 (Exchange) | $22,727.90 |
| UnitedHealthcare | WTC Health Program | $8,089.72 |
| Healthfirst | Essential Plan 3 | $3,358.39 |
| Aetna | Global National Transplant | $33,464.56 |
| EmblemHealth | Select Care HMO | $26,259.90 |
| MetroPlus | Essential Plan 1-2, 200-250 | $12,575.47 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $15,151.93 |
| Blue Cross Blue Shield | HMO | $24,649.00 |
| Blue Cross Blue Shield | Blue Connection | $24,649.00 |
| VNS Health | SelectHealth (Medicaid) | $12,626.61 |
| MagnaCare | Direct Plus | $35,224.32 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $13,257.94 |
| MetroPlus | Essential Plan 2 | $12,575.47 |
| Blue Cross Blue Shield | Healthy New York | $24,649.00 |
| EmblemHealth | HIP EPO | $30,894.00 |
| EmblemHealth | Select Care EPO | $26,259.90 |
| EmblemHealth | HIP HMO | $30,894.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $17,045.92 |
| MultiPlan | Kaiser Permanente | $33,365.54 |
| EmblemHealth | CMO Essential Plan 4 | $12,626.61 |
| Senior Whole Health | All Plans | $8,089.72 |
| MetroPlus | Child Health Plus (CHP) | $12,626.61 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $43,663.00 |
| EmblemHealth | HIP Prime Basic | $26,259.90 |
| EmblemHealth | HIP POS | $30,894.00 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $12,626.61 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $8,089.72 |
| Cigna | Tufts Health Plan | $47,720.00 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $12,626.61 |
| Blue Cross Blue Shield | EPO | $24,649.00 |
| MultiPlan | Humana Health Plan | $33,365.54 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $17,045.92 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $12,626.61 |
| MultiPlan | QualCare Inc | $33,365.54 |
| Three Rivers | All Plans (Home-based Only) | $38,498.70 |
| Blue Cross Blue Shield | Pathway Enhanced | $15,090.56 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $22,184.00 |
| MultiPlan | Paramount Insurance | $33,365.54 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $17,045.92 |
| MetroPlus | SilverPlus | $16,017.64 |
| Aetna | Wellnet ASA PPO | $33,464.56 |
| HealthSmart | WTC Health Program - Mt. Sinai | $8,089.72 |
| Humana | All Commercial Plans | $33,365.54 |
| EmblemHealth | HIP Access II | $30,894.00 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $47,720.00 |
| AgeWell (Deprecated) | Medicaid Managed Care | $12,626.61 |
| UnitedHealthcare | Optum Health | $25,891.00 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $25,150.94 |
| UnitedHealthcare | Student Resources | $25,891.00 |
| Blue Cross Blue Shield | UniCare | $24,649.00 |
| EmblemHealth | GHI Medicare Supplement | $8,089.72 |
| Fidelis Care | Silver (Exchange) | $22,727.90 |
| Cigna | PPO | $47,720.00 |
| Healthfirst | Personal Wellness Plan (HARP) | $12,626.61 |
| UnitedHealthcare | Choice (NY Power Authority) | $25,891.00 |
| BCBS (Out of State) | POS (Suitcase Logo) | $24,649.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $24,649.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $8,089.72 |
| MultiPlan | PHCS Director Guild | $33,365.54 |
| MultiPlan | Fiserv Health | $33,365.54 |
| MultiPlan | Nippon Life | $33,365.54 |
| UnitedHealthcare - Oxford | Freedom | $21,842.00 |
| Healthfirst | Child Health Plus (CHP) | $3,358.39 |
| Fidelis Care | Essential Plan 1 | $27,147.21 |
| Cigna | Open Access | $47,720.00 |
| MetroPlus | GoldCare 2 | $26,911.50 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $15,151.93 |
| MultiPlan | Administrative Concepts | $33,365.54 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $22,184.00 |
| UnitedHealthcare | EPO | $25,891.00 |
| Cigna | Open Access HMO | $47,720.00 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $12,626.61 |
| EmblemHealth | HIP | $30,894.00 |
| Blue Cross Blue Shield | POS | $24,649.00 |
| EmblemHealth | Enhanced Care (Medicaid) | $12,626.61 |
| UnitedHealthcare | Medicare Advantage | $8,089.72 |
| Blue Cross Blue Shield | Global Transplants | $24,649.00 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $8,089.72 |
| MultiPlan | Capital District Physicians Health Plan | $33,365.54 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $8,089.72 |
| MagnaCare | JIB Members | $35,224.32 |
| CenterLight | PACE | $8,251.51 |
| Healthfirst | Senior Health Partners (MLTC) | $3,358.39 |
| Blue Cross Blue Shield | Blue Priority PPO | $24,649.00 |
| Partners Health Plan | Medicaid MLTC | $12,626.61 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $8,089.72 |
| Fidelis Care | Platinum (Exchange) | $22,727.90 |
| Anthem BCBS HealthPlus | Medicaid | $12,575.47 |
| Cigna | Premier Plus | $47,720.00 |
| MultiPlan | Screen Actors Guild | $33,365.54 |
| Cigna | Indemnity | $47,720.00 |
| UnitedHealthcare | POMCO (UMR) | $33,365.54 |
| BCBS (Out of State) | PPO | $24,649.00 |
| Cigna | LifeSOURCE | $47,720.00 |
| EmblemHealth | HIP Medicare Supplement | $8,089.72 |
| UnitedHealthcare | POS | $25,891.00 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $24,649.00 |
| Cigna | Cigna Managed Care/POS | $47,720.00 |
| Riverspring Health Plans | Medicare Advantage | $8,089.72 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $22,184.00 |
| MagnaCare | Direct Plus Preferred | $35,224.32 |
| MetroPlus | Essential Plan 3-4 | $12,626.61 |
| Partners Health Plan | FIDA | $8,089.72 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $24,649.00 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $8,089.72 |
| 1199SEIU Funds | PPO | $5,493.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $17,045.92 |
| Aetna | Indemnity | $34,648.83 |
| MultiPlan | PHCS | $33,365.54 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $13,257.94 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $25,150.94 |
| HealthSmart | WTC Health Program - Stony Brook | $8,089.72 |
| MultiPlan | Principal Financial Group | $33,365.54 |
| Cigna | Evernorth Behavioral Health | $47,720.00 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $12,575.47 |
| EmblemHealth | Select Care Gold Exchange | $26,259.90 |
| UnitedHealthcare | Golden Rule Insurance | $25,891.00 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $12,575.47 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $13,257.94 |
| Aetna | Open Access HMO | $33,464.56 |
| UnitedHealthcare - Oxford | Medicare Advantage | $8,089.72 |
| EmblemHealth | HIP compre health epo | $30,894.00 |
| MagnaCare | PPO | $35,224.32 |
| MagnaCare | American Plan Administrators | $35,224.32 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $26,259.90 |
| EmblemHealth | HIP VIP Medicare Affinity | $8,089.72 |
| EmblemHealth | Prime Silver | $26,259.90 |
| Aetna | HMO | $33,464.56 |
| AgeWell (Deprecated) | Medicare Advantage | $8,089.72 |
| Blue Cross Blue Shield | Pathway X Enhanced | $15,090.56 |
| Anthem BCBS | All Plans | $24,649.00 |
| EmblemHealth | Select Care Silver Exchange | $26,259.90 |
| HealthSmart | WTC Health Program - Northwell | $8,089.72 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $12,626.61 |
| GEHA | All Plans | $33,464.56 |
| EmblemHealth | Vytra HMO | $30,894.00 |
| UnitedHealthcare | Core | $25,891.00 |
| Partners Health Plan | Medicaid | $12,626.61 |
| UnitedHealthcare - Oxford | Optum Health | $21,842.00 |
| UnitedHealthcare | Navigate | $25,891.00 |
| UnitedHealthcare - Oxford | Liberty | $21,842.00 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $30,894.00 |
| UnitedHealthcare | Charter | $25,891.00 |