Price of Repair Eyelid Defect at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Repair Eyelid Defect
Service Codes: CPT 67904
This procedure involves correcting defects or deformities of the eyelid to restore normal function and appearance. It may address issues such as drooping, scarring, or congenital abnormalities.
Pricing Overview
Cash Price
$23,228.77
(Based on gross charge; uninsured discount not provided)Median Price
$7,472.00
Price Range
$916.89 - $19,512.17
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| EmblemHealth | Healthcare Partners Essential Plan 3 | $2,054.71 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $2,589.92 |
| Blue Cross Blue Shield | HMO | $9,619.00 |
| Blue Cross Blue Shield | Blue Connection | $9,619.00 |
| EmblemHealth | HIP Access II | $7,558.00 |
| EmblemHealth | Select Care Gold Exchange | $9,585.45 |
| MetroPlus | GoldCare 2 | $4,397.08 |
| MultiPlan | Teamsters Allied Benefits | $18,118.44 |
| MagnaCare | National Health Plan | $13,547.57 |
| Blue Cross Blue Shield | Healthy New York | $9,619.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $8,657.00 |
| VillageCareMAX | All Plans | $2,589.92 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $7,472.00 |
| AgeWell (Deprecated) | Medicaid Managed Care | $2,054.71 |
| Anthem BCBS HealthPlus | Medicaid | $2,054.71 |
| Healthfirst | Personal Wellness Plan (HARP) | $2,054.71 |
| First Health | PPO | $18,118.44 |
| HealthSmart | WTC Health Program - Mt. Sinai | $2,589.92 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $4,109.43 |
| MultiPlan | Global Excel Management | $18,118.44 |
| EmblemHealth | HIP PPO | $7,558.00 |
| 1199SEIU Funds | Home Care Benefit Fund | $7,895.00 |
| MetroPlus | Gold | $4,397.08 |
| Blue Cross Blue Shield | EPO | $9,619.00 |
| Fidelis Care | Silver (Exchange) | $3,698.48 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $2,589.92 |
| BCBS (Out of State) | Indemnity | $9,619.00 |
| Fidelis Care | Essential Plan 3 | $2,547.84 |
| Hamaspik | Medicare Advantage | $5,179.84 |
| EmblemHealth | HIP | $7,558.00 |
| EmblemHealth | American Plan Administrators | $11,277.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $2,157.45 |
| Sedgwick | WTC Health Program - Northwell | $2,589.92 |
| Cigna | MVP-Cigna Network | $5,418.00 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $2,054.71 |
| EmblemHealth | Enhanced Care (Medicaid) | $2,054.71 |
| Blue Cross Blue Shield | UniCare | $9,619.00 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $8,657.00 |
| BCBS (Out of State) | POS (Suitcase Logo) | $9,619.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $9,619.00 |
| MetroPlus | Essential Plan 2 | $2,054.71 |
| MultiPlan | Mutual of Omaha | $18,118.44 |
| UnitedHealthcare | Medicare Advantage | $2,589.92 |
| Partners Health Plan | Medicaid MLTC | $2,054.71 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $2,589.92 |
| UnitedHealthcare | Choice | $7,472.00 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $2,157.45 |
| Fidelis Care | Bronze (Exchange) | $3,698.48 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $2,589.92 |
| EmblemHealth | HIP Optum Health | $7,558.00 |
| Aetna | HMO | $10,664.46 |
| EmblemHealth | HIP Montefiore | $7,558.00 |
| EmblemHealth | CMO Essential Plan 1 | $2,465.66 |
| GEHA | All Plans | $10,664.46 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $7,695.00 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $2,589.92 |
| Fidelis Care | Platinum (Exchange) | $3,698.48 |
| Blue Cross Blue Shield | POS | $9,619.00 |
| Blue Cross Blue Shield | Global Transplants | $9,619.00 |
| Blue Cross Blue Shield | PPO | $9,619.00 |
| EmblemHealth | HIP Medicare Supplement | $2,589.92 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $9,619.00 |
| MetroPlus | Essential Plan 3-4 | $2,054.71 |
| MultiPlan | PPO | $18,118.44 |
| UnitedHealthcare | Optum Health | $7,472.00 |
| Blue Cross Blue Shield | Blue Priority PPO | $9,619.00 |
| UnitedHealthcare | Student Resources | $7,472.00 |
| Riverspring Health Plans | Medicare Advantage | $2,589.92 |
| Cigna | NALC PPO | $5,418.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $2,157.45 |
| UnitedHealthcare | Choice (NY Power Authority) | $7,472.00 |
| Aetna | Allied ASA PPO | $10,664.46 |
| MultiPlan | US Life Insurance Co | $18,118.44 |
| Cigna | Great West HMO | $5,418.00 |
| Partners Health Plan | FIDA | $2,589.92 |
| Cigna | Wellfleet Student | $5,418.00 |
| EmblemHealth | HIP compre health epo | $7,558.00 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| Aetna | Indemnity | $2,589.92 |
| Fidelis Care | Child Health Plus (CHP) | $2,547.84 |
| Cigna | Great West PPO | $5,418.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| UnitedHealthcare | POMCO (UMR) | $7,472.00 |
| EmblemHealth | HIP POS | $7,558.00 |
| HealthSmart | WTC Health Program - Stony Brook | $2,589.92 |
| Aetna | Signature Administrators PPO | $10,664.46 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $9,619.00 |
| Healthfirst | Essential Plan 4 | $916.89 |
| UnitedHealthcare - Oxford | Medicare Advantage | $2,589.92 |
| Aetna | Student Health | $10,664.46 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $2,054.71 |
| EmblemHealth | Essential Plan 2 | $2,465.66 |
| MultiPlan | Guardian Life Insurance Co | $18,118.44 |
| Partners Health Plan | Medicaid | $2,054.71 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $7,558.00 |
| Anthem BCBS | Empire Plan, Value Options | $9,619.00 |
| EmblemHealth | HIP VIP Medicare Affinity | $2,589.92 |
| EmblemHealth | HIP Healthcare Partners HMO | $7,558.00 |
| UnitedHealthcare | EPO | $7,472.00 |
| Blue Cross Blue Shield | Pathway Enhanced | $2,465.66 |
| AgeWell (Deprecated) | Medicare Advantage | $2,589.92 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $2,465.66 |
| HealthSmart | WTC Health Program - Northwell | $2,589.92 |
| Healthfirst | Medicaid Managed Care | $916.89 |
| Centers Plan for Healthy Living | All Plans | $2,589.92 |
| Blue Cross Blue Shield | Indemnity | $9,619.00 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $9,585.45 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $7,695.00 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $11,277.00 |
| EmblemHealth | Prime Silver | $9,585.45 |
| MultiPlan | PHCS Savility | $18,118.44 |
| Aetna | POS | $10,664.46 |
| MultiPlan | Global Health Management | $18,118.44 |
| Fidelis Care | Essential Plan 2 | $4,417.63 |
| Anthem BCBS | All Plans | $9,619.00 |
| EmblemHealth | Select Care Silver Exchange | $9,585.45 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $2,589.92 |
| Fidelis Care | Gold for Children (Exchange) | $3,698.48 |
| Aetna | Chesterfield Resources ASA PPO | $10,664.46 |
| Aetna | PPO | $10,664.46 |
| MultiPlan | PHP Healthcare (Champus) | $18,118.44 |
| UnitedHealthcare - Oxford | Metro | $6,613.00 |
| EmblemHealth | GHI Medicare Supplement | $2,589.92 |
| Cigna | Tufts Health Plan | $5,418.00 |
| Aetna | Healthscope ASA PPO | $10,664.46 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| Aetna | Open Access Elect Choice EPO | $10,664.46 |
| CenterLight | PACE Medicare HMO | $2,641.72 |
| Aetna | Medicare Advantage | $2,589.92 |
| Aetna | Meritain Health | $10,664.46 |
| Health Net | PPO | $18,118.44 |
| Healthfirst | Essential Plan 3 | $916.89 |
| EmblemHealth | HIP VIP Medicare Bold | $2,589.92 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $5,418.00 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $9,619.00 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $2,054.71 |
| Cigna | PPO | $5,418.00 |
| Champus | Unysis Corp | $2,589.92 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $2,054.71 |
| Aetna | Nippon Life ASA PPO | $10,664.46 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $7,695.00 |
| EmblemHealth | Select Care Bronze Exchange | $9,585.45 |
| EmblemHealth | CMO Essential Plan 2 | $2,465.66 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $7,695.00 |
| Blue Cross Blue Shield | Blue Priority HMO | $9,619.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $2,589.92 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $9,619.00 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $2,054.71 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $2,465.66 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $2,773.86 |
| MultiPlan | Kaiser Permanente | $18,118.44 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $2,157.45 |
| Aetna | Global National Transplant | $10,664.46 |
| Cigna | Open Access | $5,418.00 |
| EmblemHealth | Select Care Silver Small Group | $9,585.45 |
| Aetna | Christian Brothers ASA PPO | $10,664.46 |
| UnitedHealthcare | Navigate | $7,472.00 |
| MagnaCare | Direct Plus | $13,547.57 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $2,589.92 |
| EmblemHealth | Prime Bronze | $9,585.45 |
| EmblemHealth | Select Care Healthcare Partners | $9,585.45 |
| Horizon BCBS | Direct | $9,619.00 |
| MultiPlan | Humana Health Plan | $18,118.44 |
| EmblemHealth | GHI HMO | $11,277.00 |
| MultiPlan | QualCare Inc | $18,118.44 |
| Aetna | Coresource ASA PPO | $10,664.46 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $2,157.45 |
| EmblemHealth | Select Care Platinum Small Group | $9,585.45 |
| EmblemHealth | HIP Child Health Plus | $2,054.71 |
| MultiPlan | Paramount Insurance | $18,118.44 |
| Blue Cross Blue Shield | Pathway | $2,465.66 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $2,589.92 |
| Humana | All Commercial Plans | $18,118.44 |
| VA Community Care Network | Optum | $2,589.92 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $2,589.92 |
| Cigna | Premier Plus | $5,418.00 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $4,109.43 |
| UnitedHealthcare | HMO | $7,472.00 |
| Aetna | Starmark ASA PPO | $10,664.46 |
| EmblemHealth | Select Care Basic Exchange | $9,585.45 |
| Fidelis Care | Essential Plan 1 | $4,417.63 |
| Cigna | Indemnity | $5,418.00 |
| MultiPlan | PHCS Director Guild | $18,118.44 |
| Aetna | Wellnet ASA PPO | $10,664.46 |
| Cigna | LifeSOURCE | $5,418.00 |
| Healthfirst | Child Health Plus (CHP) | $916.89 |
| Blue Cross Blue Shield | Pathway X Enhanced | $2,465.66 |
| EmblemHealth | Vytra HMO | $7,558.00 |
| EmblemHealth | GHI Medicare HMO | $2,589.92 |
| Fidelis Care | Wellcare Medicare Advantage | $2,589.92 |
| MultiPlan | Fiserv Health | $18,118.44 |
| MultiPlan | Nippon Life | $18,118.44 |
| UnitedHealthcare - Oxford | Freedom | $6,613.00 |
| Cigna | Cigna Managed Care/POS | $5,418.00 |
| Blue Cross Blue Shield | Senior Care Supplemental | $2,589.92 |
| VNS Health | EasyCare (Medicare Advantage) | $2,589.92 |
| Elderplan | FIDA | $2,589.92 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $2,157.45 |
| MultiPlan | Administrative Concepts | $18,118.44 |
| Better Health Plan | All Plans | $19,512.17 |
| Cigna | Evernorth Behavioral Health | $5,418.00 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $2,157.45 |
| MultiPlan | Capital District Physicians Health Plan | $18,118.44 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $2,054.71 |
| Veterans Choice | Veterans Choice Program | $2,589.92 |
| Healthfirst | Senior Health Partners (MLTC) | $916.89 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $2,157.45 |
| MetroPlus | Essential Plan 1 | $2,054.71 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $9,619.00 |
| VNS Health | MLTC (Medicaid) | $2,054.71 |
| EmblemHealth | CMO Essential Plan 3 | $2,054.71 |
| EmblemHealth | GHI EPO | $11,277.00 |
| EmblemHealth | HIP VIP Medicare Reserve | $2,589.92 |
| Fidelis Care | Essential Plan 4 | $2,547.84 |
| Fidelis Care | Bronze for Children (Exchange) | $3,698.48 |
| EmblemHealth | Select Care HMO | $9,585.45 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $2,589.92 |
| MetroPlus | Medicaid Managed Care | $2,054.71 |
| CenterLight | PACE | $2,641.72 |
| EmblemHealth | Select Care PPOu00a0 | $9,585.45 |
| 1199SEIU Funds | PPO | $7,895.00 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $2,589.92 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $2,773.86 |
| Partners Health Plan | Medicare Advantage | $2,589.92 |
| MagnaCare | JIB Members | $13,547.57 |
| UnitedHealthcare | POS | $7,472.00 |
| MetroPlus | Medicare Advantage | $2,589.92 |
| Fidelis Care | Gold (Exchange) | $3,698.48 |
| MultiPlan | Screen Actors Guild | $18,118.44 |
| MetroPlus | Essential Plan 4 | $2,054.71 |
| UnitedHealthcare | Independent | $7,472.00 |
| Elderplan | All Plans | $2,589.92 |
| EmblemHealth | Select Care EPO | $9,585.45 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $2,589.92 |
| UnitedHealthcare | PPO | $7,472.00 |
| UnitedHealthcare | POMCO (UMR) | $18,118.44 |
| EmblemHealth | Essential Plan 4 | $2,054.71 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $11,277.00 |
| EmblemHealth | HIP Prime Basic | $9,585.45 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $2,773.86 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $7,695.00 |
| EmblemHealth | Prime Platinum | $9,585.45 |
| BCBS (Out of State) | HMO | $9,619.00 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $9,619.00 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $2,465.66 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $2,054.71 |
| HealthSmart | WTC Health Program - NYU | $2,589.92 |
| UnitedHealthcare | Golden Rule Insurance | $7,472.00 |
| MetroPlus | BronzePlus | $5,128.04 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $2,589.92 |
| MultiPlan | Healthnet of California | $18,118.44 |
| MultiPlan | PHCS | $18,118.44 |
| EmblemHealth | GHI PPO | $11,277.00 |
| EmblemHealth | Bridge | $7,558.00 |
| Fidelis Care | Silver for Children (Exchange) | $3,698.48 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $2,773.86 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| MultiPlan | Principal Financial Group | $18,118.44 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $2,589.92 |
| EmblemHealth | GHI composite | $11,277.00 |
| Fidelis Care | Catastrophic (Exchange) | $3,698.48 |
| Fidelis Care | Platinum for Children (Exchange) | $3,698.48 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $2,589.92 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $2,589.92 |
| EmblemHealth | IUOE Local 14-14B | $11,277.00 |
| Blue Cross Blue Shield | Hotel Trades Council | $9,619.00 |
| EmblemHealth | Healthcare Partners Essential Plans | $2,465.66 |
| MetroPlus | PlatinumPlus | $5,128.04 |
| MetroPlus | Essential Plan 3 | $2,054.71 |
| UnitedHealthcare | Core | $7,472.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $2,589.92 |
| MetroPlus | Essential Plan 1-2, 200-250 | $2,054.71 |
| MetroPlus | GoldPlus | $5,128.04 |
| Cigna | Open Access PPO | $5,418.00 |
| BCBS (Out of State) | EPO | $9,619.00 |
| BCBS (Out of State) | Medicare | $2,589.92 |
| Amida Care | Medicaid Managed Care | $2,054.71 |
| EmblemHealth | BCBS GHI Composite | $9,619.00 |
| EmblemHealth | GHI Medicare PPO | $2,589.92 |
| UnitedHealthcare | Charter | $7,472.00 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $2,054.71 |
| UnitedHealthcare | AARP | $2,589.92 |
| Anthem BCBS HealthPlus | Medicare Advantage | $2,589.92 |
| UnitedHealthcare - Oxford | Optum Health | $6,613.00 |
| MagnaCare | PPO | $13,547.57 |
| Cigna | Open Access HMO | $5,418.00 |
| Aetna | Open Access HMO | $10,664.46 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| UnitedHealthcare - Oxford | Liberty | $6,613.00 |
| EmblemHealth | HIP SmartStart | $7,558.00 |
| MetroPlus | MedPlus | $5,128.04 |
| EmblemHealth | Essential Plan 1, 200-250 | $2,465.66 |
| Blue Cross Blue Shield | Federal Program | $9,619.00 |
| First Health | Commercial HMO | $19,512.17 |
| CenterLight | Direct | $2,641.72 |
| Healthfirst | Essential Plan 3-4 | $916.89 |
| 1199SEIU Funds | Member Choice Home Care Select | $7,895.00 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $9,619.00 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $2,157.45 |
| EmblemHealth | Essential Plan 3 | $2,054.71 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $2,589.92 |
| HealthSmart | WTC Health Program - FDNY | $2,589.92 |
| EmblemHealth | HIP Access I | $7,558.00 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $2,054.71 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $2,157.45 |
| EmblemHealth | Select Care Bronze Small Group | $9,585.45 |
| MultiPlan | AXA Global Insurance | $18,118.44 |
| EmblemHealth | HIP VIP Medicare Montefiore | $2,589.92 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $8,657.00 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $8,657.00 |
| Cigna | HMO | $5,418.00 |
| HealthSmart | WTC Health Program - NYCHHC | $2,589.92 |
| EmblemHealth | HIP EPO | $7,558.00 |
| EmblemHealth | GHI Behavioral Management Program | $11,277.00 |
| Fidelis Care | Native American (Exchange) | $3,698.48 |
| VNS Health | Total (Medicare + Medicaid) | $2,589.92 |
| VNS Health | SelectHealth (Medicaid) | $2,054.71 |
| UnitedHealthcare | WTC Health Program | $2,589.92 |
| EmblemHealth | HIP HMO | $7,558.00 |
| BCBS (Out of State) | POS | $9,619.00 |
| Anthem BCBS HealthPlus | All Exchange Plans | $2,465.66 |
| Fidelis Care | Silver 250 (Exchange) | $3,698.48 |
| Blue Cross Blue Shield | Local 32 BJ | $9,619.00 |
| Anthem BCBS | Optum | $9,619.00 |
| EmblemHealth | HIP compre health | $7,558.00 |
| EmblemHealth | WLNY-TV | $11,277.00 |
| BCBS (Out of State) | PPO | $9,619.00 |
| EmblemHealth | CMO Essential Plan 4 | $2,054.71 |
| CenterLight | Select | $2,641.72 |
| MultiPlan | Meritain Health | $18,118.44 |
| EmblemHealth | Prime Gold | $9,585.45 |
| MetroPlus | Child Health Plus (CHP) | $2,054.71 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $2,054.71 |
| EmblemHealth | Select Care Gold Small Group | $9,585.45 |
| MetroPlus | SilverPlus | $5,128.04 |
| EmblemHealth | Select Care Platinum Exchange | $9,585.45 |
| Fidelis Care | Medicaid Managed Care | $2,547.84 |
| Senior Whole Health | All Plans | $2,589.92 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $2,054.71 |
| Healthfirst | Personal Wellness Plan (HARP) | $916.89 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $9,619.00 |
| MultiPlan | Diversified Admin Corp | $18,118.44 |