Price of Occupational Therapy Evaluation - Low Complexity at NYU Langone
Last Updated: 2024-07-01
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Occupational Therapy Evaluation - Low Complexity
Service Codes: LOCAL 2025793, CPT 97165
This procedure involves a comprehensive assessment of a patient's functional abilities and needs to develop a personalized treatment plan. It focuses on identifying challenges in daily activities and determining appropriate interventions to improve overall function.
Pricing Overview
Cash Price
$171.15
Median Price
$262.98
Price Range
$103.36 - $810.72
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| UnitedHealthcare | Choice | $344.00 |
| Cigna | NALC PPO | $540.48 |
| EmblemHealth | Essential Plan 3 | $198.78 |
| EmblemHealth | BCBS GHI Composite | $483.41 |
| UnitedHealthcare | Independent | $109.66 |
| Partners Health Plan | FIDA | $114.84 |
| Horizon BCBS | Direct | $483.41 |
| EmblemHealth | Select Care Silver Small Group | $223.54 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $114.84 |
| EmblemHealth | HIP EPO | $262.98 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $198.78 |
| Aetna | POS | $300.88 |
| EmblemHealth | HIP HMO | $262.98 |
| First Health | Commercial HMO | $756.67 |
| EmblemHealth | Prime Bronze | $223.54 |
| Blue Cross Blue Shield | Federal Program | $483.41 |
| Cigna | Great West PPO | $540.48 |
| Cigna | Indemnity | $540.48 |
| EmblemHealth | Select Care Healthcare Partners | $223.54 |
| Health Net | PPO | $702.62 |
| EmblemHealth | HIP compre health | $262.98 |
| Cigna | LifeSOURCE | $540.48 |
| EmblemHealth | GHI Medicare HMO | $114.84 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $483.41 |
| UnitedHealthcare - Oxford | Medicare Advantage | $114.84 |
| Cigna | Cigna Managed Care/POS | $540.48 |
| EmblemHealth | GHI Behavioral Management Program | $525.97 |
| Blue Cross Blue Shield | Senior Care Supplemental | $114.84 |
| EmblemHealth | Select Care Platinum Small Group | $223.54 |
| EmblemHealth | HIP VIP Medicare Affinity | $114.84 |
| Partners Health Plan | Medicaid MLTC | $154.76 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $268.36 |
| VNS Health | EasyCare (Medicare Advantage) | $114.84 |
| Elderplan | FIDA | $114.84 |
| EmblemHealth | CMO Essential Plan 4 | $198.78 |
| Fidelis Care | Bronze for Children (Exchange) | $357.81 |
| Fidelis Care | Essential Plan 4 | $246.49 |
| MultiPlan | Kaiser Permanente | $702.62 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $198.78 |
| Fidelis Care | Gold (Exchange) | $357.81 |
| EmblemHealth | HIP Access II | $262.98 |
| EmblemHealth | Select Care Basic Exchange | $223.54 |
| Centers Plan for Healthy Living | All Plans | $114.84 |
| MagnaCare | Cement & Concrete Workers District Council | $372.68 |
| Veterans Choice | Veterans Choice Program | $114.84 |
| UnitedHealthcare | POMCO (UMR) | $344.00 |
| CenterLight | Select | $117.14 |
| Hamaspik | Medicare Advantage | $172.26 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $198.78 |
| BCBS (Out of State) | POS | $483.41 |
| EmblemHealth | HIP VIP Medicare Reserve | $114.84 |
| Healthfirst | Essential Plan 4 | $103.36 |
| Blue Cross Blue Shield | Local 32 BJ | $483.41 |
| Anthem BCBS | Optum | $483.41 |
| MultiPlan | Humana Health Plan | $702.62 |
| MultiPlan | QualCare Inc | $702.62 |
| MultiPlan | Paramount Insurance | $702.62 |
| Aetna | HMO | $300.88 |
| Healthfirst | Personal Wellness Plan (HARP) | $103.36 |
| Cigna | Tufts Health Plan | $540.48 |
| GEHA | All Plans | $300.88 |
| Healthfirst | Medicaid Managed Care | $103.36 |
| Anthem BCBS HealthPlus | Medicaid | $198.78 |
| Humana | All Commercial Plans | $702.62 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $525.97 |
| 1199SEIU Funds | Home Care Benefit Fund | $106.99 |
| CenterLight | PACE | $117.14 |
| Fidelis Care | Silver for Children (Exchange) | $357.81 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $483.41 |
| Fidelis Care | Catastrophic (Exchange) | $357.81 |
| Fidelis Care | Platinum for Children (Exchange) | $357.81 |
| Aetna | Medicare Advantage | $114.84 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $344.00 |
| Blue Cross Blue Shield | HMO | $483.41 |
| MultiPlan | PHCS Director Guild | $702.62 |
| EmblemHealth | HIP | $262.98 |
| Blue Cross Blue Shield | Blue Connection | $483.41 |
| MultiPlan | Fiserv Health | $702.62 |
| Blue Cross Blue Shield | Healthy New York | $483.41 |
| Champus | Unysis Corp | $114.84 |
| MultiPlan | Nippon Life | $702.62 |
| Partners Health Plan | Medicaid | $154.76 |
| EmblemHealth | Select Care HMO | $223.54 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $208.72 |
| EmblemHealth | Select Care PPOu00a0 | $223.54 |
| Aetna | Allied ASA PPO | $300.88 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $114.84 |
| EmblemHealth | CMO Essential Plan 2 | $238.54 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $114.84 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $114.84 |
| EmblemHealth | Select Care EPO | $223.54 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $198.78 |
| MultiPlan | Administrative Concepts | $702.62 |
| EmblemHealth | Enhanced Care (Medicaid) | $198.78 |
| MetroPlus | Essential Plan 1-2, 200-250 | $198.78 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $238.54 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $114.84 |
| Cigna | Open Access | $540.48 |
| Blue Cross Blue Shield | EPO | $483.41 |
| Cigna | Open Access PPO | $540.48 |
| EmblemHealth | HIP Optum Health | $262.98 |
| MagnaCare | Direct Plus Preferred | $372.68 |
| Aetna | Signature Administrators PPO | $300.88 |
| MetroPlus | BronzePlus | $227.38 |
| EmblemHealth | HIP Montefiore | $262.98 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $114.84 |
| EmblemHealth | HIP Prime Basic | $223.54 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $208.72 |
| MetroPlus | Essential Plan 2 | $198.78 |
| MultiPlan | Capital District Physicians Health Plan | $702.62 |
| EmblemHealth | Prime Platinum | $223.54 |
| Aetna | Student Health | $300.88 |
| Healthfirst | Essential Plan 3 | $103.36 |
| UnitedHealthcare | AARP | $114.84 |
| Anthem BCBS HealthPlus | Medicare Advantage | $114.84 |
| Cigna | Open Access HMO | $540.48 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $268.36 |
| MagnaCare | Direct Plus | $372.68 |
| MetroPlus | PlatinumPlus | $227.38 |
| MetroPlus | GoldPlus | $227.38 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $397.57 |
| Blue Cross Blue Shield | UniCare | $483.41 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $386.73 |
| Blue Cross Blue Shield | Pathway | $238.54 |
| MagnaCare | PPO | $372.68 |
| MagnaCare | American Plan Administrators | $372.68 |
| MultiPlan | Screen Actors Guild | $702.62 |
| BCBS (Out of State) | POS (Suitcase Logo) | $483.41 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $483.41 |
| VA Community Care Network | Optum | $114.84 |
| CenterLight | Direct | $117.14 |
| UnitedHealthcare | POMCO (UMR) | $702.62 |
| Fidelis Care | Native American (Exchange) | $357.81 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $268.36 |
| MetroPlus | MedPlus | $227.38 |
| Fidelis Care | Silver 250 (Exchange) | $357.81 |
| HealthSmart | WTC Health Program - FDNY | $114.84 |
| Cigna | Premier Plus | $540.48 |
| EmblemHealth | HIP compre health epo | $262.98 |
| MetroPlus | Essential Plan 3-4 | $198.78 |
| Aetna | Chesterfield Resources ASA PPO | $300.88 |
| Aetna | PPO | $300.88 |
| Fidelis Care | Wellcare Medicare Advantage | $114.84 |
| EmblemHealth | HIP VIP Medicare Montefiore | $114.84 |
| EmblemHealth | HIP POS | $262.98 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $208.72 |
| Blue Cross Blue Shield | Pathway X Enhanced | $238.54 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $268.36 |
| HealthSmart | WTC Health Program - NYCHHC | $114.84 |
| MultiPlan | Healthnet of California | $702.62 |
| Aetna | Healthscope ASA PPO | $300.88 |
| MultiPlan | PHCS | $702.62 |
| Fidelis Care | Medicaid Managed Care | $246.49 |
| UnitedHealthcare - Oxford | Optum Health | $329.00 |
| UnitedHealthcare | Optum Health | $344.00 |
| MultiPlan | Principal Financial Group | $702.62 |
| Blue Cross Blue Shield | POS | $483.41 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $262.98 |
| UnitedHealthcare | Student Resources | $344.00 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $208.72 |
| Blue Cross Blue Shield | Global Transplants | $483.41 |
| UnitedHealthcare - Oxford | Liberty | $329.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $208.72 |
| EmblemHealth | HIP Healthcare Partners HMO | $262.98 |
| UnitedHealthcare | Choice (NY Power Authority) | $344.00 |
| Anthem BCBS HealthPlus | All Exchange Plans | $238.54 |
| Aetna | Open Access Elect Choice EPO | $300.88 |
| Blue Cross Blue Shield | PPO | $483.41 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $483.41 |
| Aetna | Meritain Health | $300.88 |
| MetroPlus | Child Health Plus (CHP) | $198.78 |
| Cigna | Evernorth Behavioral Health | $540.48 |
| Blue Cross Blue Shield | Blue Priority PPO | $483.41 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $198.78 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $435.07 |
| EmblemHealth | Select Care Bronze Small Group | $223.54 |
| Fidelis Care | Essential Plan 2 | $427.39 |
| Aetna | Nippon Life ASA PPO | $300.88 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $114.84 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $114.84 |
| BCBS (Out of State) | PPO | $483.41 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $114.84 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $483.41 |
| Partners Health Plan | Medicare Advantage | $114.84 |
| UnitedHealthcare | EPO | $344.00 |
| MetroPlus | Medicare Advantage | $114.84 |
| MetroPlus | SilverPlus | $227.38 |
| Aetna | Global National Transplant | $300.88 |
| Fidelis Care | Silver (Exchange) | $357.81 |
| Aetna | Christian Brothers ASA PPO | $300.88 |
| UnitedHealthcare - Oxford | Freedom | $329.00 |
| Elderplan | All Plans | $114.84 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $114.84 |
| VillageCareMAX | All Plans | $114.84 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $386.73 |
| 1199SEIU Funds | PPO | $106.99 |
| Anthem BCBS | Empire Plan, Value Options | $483.41 |
| Fidelis Care | Essential Plan 3 | $246.49 |
| EmblemHealth | Prime Gold | $223.54 |
| MagnaCare | JIB Members | $372.68 |
| EmblemHealth | Select Care Gold Small Group | $223.54 |
| MetroPlus | Gold | $198.78 |
| EmblemHealth | Select Care Platinum Exchange | $223.54 |
| Aetna | Coresource ASA PPO | $300.88 |
| MultiPlan | AXA Global Insurance | $702.62 |
| HealthSmart | WTC Health Program - NYU | $114.84 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $238.54 |
| Aetna | Indemnity | $729.65 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $435.07 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $114.84 |
| Blue Cross Blue Shield | Indemnity | $483.41 |
| UnitedHealthcare | POS | $344.00 |
| EmblemHealth | Select Care Gold Exchange | $223.54 |
| Anthem BCBS | All Plans | $483.41 |
| Fidelis Care | Bronze (Exchange) | $357.81 |
| Three Rivers | All Plans (Home-based Only) | $810.72 |
| Aetna | Starmark ASA PPO | $300.88 |
| Sedgwick | WTC Health Program - Northwell | $114.84 |
| Amida Care | Medicaid Managed Care | $114.84 |
| MultiPlan | Meritain Health | $702.62 |
| EmblemHealth | Healthcare Partners Essential Plans | $238.54 |
| Aetna | Wellnet ASA PPO | $300.88 |
| EmblemHealth | Prime Silver | $223.54 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $198.78 |
| BCBS (Out of State) | Medicare | $114.84 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $198.78 |
| EmblemHealth | GHI Medicare PPO | $114.84 |
| Fidelis Care | Platinum (Exchange) | $357.81 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $154.76 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $386.73 |
| BCBS (Out of State) | Indemnity | $483.41 |
| VNS Health | MLTC (Medicaid) | $154.76 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $386.73 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $208.72 |
| MultiPlan | Diversified Admin Corp | $702.62 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $198.78 |
| UnitedHealthcare | Golden Rule Insurance | $344.00 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $114.84 |
| EmblemHealth | Essential Plan 1, 200-250 | $238.54 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $483.41 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $208.72 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $114.84 |
| EmblemHealth | CMO Essential Plan 1 | $238.54 |
| MultiPlan | Teamsters Allied Benefits | $702.62 |
| UnitedHealthcare | Core | $344.00 |
| UnitedHealthcare | Navigate | $344.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $114.84 |
| EmblemHealth | GHI HMO | $525.97 |
| Blue Cross Blue Shield | Blue Priority HMO | $483.41 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $483.41 |
| Fidelis Care | Child Health Plus (CHP) | $246.49 |
| First Health | PPO | $702.62 |
| UnitedHealthcare | Charter | $344.00 |
| EmblemHealth | HIP Child Health Plus | $198.78 |
| MultiPlan | Global Excel Management | $702.62 |
| Riverspring Health Plans | Medicare Advantage | $114.84 |
| EmblemHealth | Vytra HMO | $262.98 |
| Cigna | HMO | $540.48 |
| Healthfirst | Essential Plan 3-4 | $103.36 |
| VNS Health | Total (Medicare + Medicaid) | $114.84 |
| Cigna | Great West HMO | $540.48 |
| UnitedHealthcare | WTC Health Program | $114.84 |
| Cigna | Wellfleet Student | $540.48 |
| HealthSmart | WTC Health Program - Stony Brook | $114.84 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $435.07 |
| UnitedHealthcare | HMO | $344.00 |
| MagnaCare | Independent Care Plus | $372.68 |
| MagnaCare | Capital District Physicians Health Plan | $372.68 |
| Senior Whole Health | All Plans | $114.84 |
| MultiPlan | Mutual of Omaha | $702.62 |
| EmblemHealth | Essential Plan 2 | $238.54 |
| Healthfirst | Child Health Plus (CHP) | $103.36 |
| AgeWell (Deprecated) | Medicare Advantage | $114.84 |
| EmblemHealth | WLNY-TV | $525.97 |
| HealthSmart | WTC Health Program - Northwell | $114.84 |
| Blue Cross Blue Shield | Pathway Enhanced | $238.54 |
| MetroPlus | GoldCare 2 | $198.78 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $238.54 |
| Fidelis Care | Gold for Children (Exchange) | $357.81 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $397.57 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $198.78 |
| MetroPlus | Essential Plan 1 | $198.78 |
| EmblemHealth | CMO Essential Plan 3 | $198.78 |
| EmblemHealth | GHI EPO | $525.97 |
| Aetna | Open Access HMO | $300.88 |
| HealthSmart | WTC Health Program - Mt. Sinai | $114.84 |
| MetroPlus | Medicaid Managed Care | $198.78 |
| Better Health Plan | All Plans | $756.67 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $114.84 |
| MagnaCare | National Health Plan | $372.68 |
| Healthfirst | Senior Health Partners (MLTC) | $103.36 |
| EmblemHealth | GHI Medicare Supplement | $114.84 |
| MultiPlan | PPO | $702.62 |
| EmblemHealth | HIP PPO | $262.98 |
| MetroPlus | Essential Plan 4 | $198.78 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $114.84 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $208.72 |
| VNS Health | SelectHealth (Medicaid) | $154.76 |
| EmblemHealth | Essential Plan 4 | $198.78 |
| MultiPlan | US Life Insurance Co | $702.62 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $525.97 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $483.41 |
| EmblemHealth | Bridge | $262.98 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $386.73 |
| UnitedHealthcare | PPO | $344.00 |
| EmblemHealth | HIP VIP Medicare Bold | $114.84 |
| Cigna | MVP-Cigna Network | $540.48 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $223.54 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $540.48 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $198.78 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $208.72 |
| EmblemHealth | GHI PPO | $525.97 |
| CenterLight | PACE Medicare HMO | $117.14 |
| Cigna | PPO | $540.48 |
| EmblemHealth | Select Care Silver Exchange | $223.54 |
| MagnaCare | JIB Employees Security Fund | $372.68 |
| MultiPlan | Guardian Life Insurance Co | $702.62 |
| EmblemHealth | GHI composite | $525.97 |
| UnitedHealthcare | Medicare Advantage | $114.84 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $114.84 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $114.84 |
| EmblemHealth | IUOE Local 14-14B | $525.97 |
| EmblemHealth | American Plan Administrators | $525.97 |
| MetroPlus | Essential Plan 3 | $198.78 |
| EmblemHealth | HIP SmartStart | $262.98 |
| BCBS (Out of State) | HMO | $483.41 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $483.41 |
| UnitedHealthcare - Oxford | Metro | $329.00 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $435.07 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $198.78 |
| AgeWell (Deprecated) | Medicaid Managed Care | $154.76 |
| 1199SEIU Funds | Member Choice Home Care Select | $106.99 |
| Healthfirst | Personal Wellness Plan (HARP) | $154.76 |
| Fidelis Care | Essential Plan 1 | $427.39 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $208.72 |
| MultiPlan | PHCS Savility | $702.62 |
| MultiPlan | Global Health Management | $702.62 |
| Blue Cross Blue Shield | Hotel Trades Council | $483.41 |
| EmblemHealth | HIP Medicare Supplement | $114.84 |
| EmblemHealth | HIP Access I | $262.98 |
| MultiPlan | PHP Healthcare (Champus) | $702.62 |
| EmblemHealth | Select Care Bronze Exchange | $223.54 |
| BCBS (Out of State) | EPO | $483.41 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $114.84 |