Price of Spinal Lamina Removal at NYU Langone
Last Updated: 2024-07-01
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Spinal Lamina Removal
Service Codes: CPT 63047
This procedure involves the surgical removal of a portion of the spinal lamina, which is the bony arch of the vertebra. It is performed to relieve pressure on the spinal cord or nerves, often due to conditions like spinal stenosis or herniated discs.
Pricing Overview
Cash Price
$72,407.33
(Based on gross charge; uninsured discount not provided)Median Price
$20,408.50
Price Range
$3,125.23 - $60,822.16
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $7,189.19 |
| Cigna | Cigna Managed Care/POS | $24,409.00 |
| Fidelis Care | Gold for Children (Exchange) | $6,470.27 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $8,102.92 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $8,102.92 |
| Healthfirst | Child Health Plus (CHP) | $3,125.23 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $22,542.00 |
| MultiPlan | Screen Actors Guild | $56,477.72 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $8,102.92 |
| Fidelis Care | Silver (Exchange) | $6,470.27 |
| Aetna | Open Access HMO | $39,522.53 |
| MetroPlus | Medicare Advantage | $8,102.92 |
| EmblemHealth | HIP EPO | $24,010.00 |
| UnitedHealthcare | POMCO (UMR) | $56,477.72 |
| AgeWell (Deprecated) | Medicaid Managed Care | $3,594.60 |
| Anthem BCBS HealthPlus | Medicaid | $3,594.60 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $20,288.00 |
| Elderplan | All Plans | $8,102.92 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $38,397.00 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $8,102.92 |
| EmblemHealth | HIP HMO | $24,010.00 |
| MagnaCare | Cement & Concrete Workers District Council | $27,095.15 |
| VillageCareMAX | All Plans | $8,102.92 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $4,313.51 |
| Cigna | Evernorth Behavioral Health | $24,409.00 |
| EmblemHealth | HIP compre health | $24,010.00 |
| Blue Cross Blue Shield | Blue Priority HMO | $22,542.00 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $3,774.32 |
| UnitedHealthcare | HMO | $25,891.00 |
| EmblemHealth | GHI PPO | $38,397.00 |
| MultiPlan | Healthnet of California | $56,477.72 |
| MultiPlan | PHCS | $56,477.72 |
| HealthSmart | WTC Health Program - NYU | $8,102.92 |
| EmblemHealth | GHI composite | $38,397.00 |
| MultiPlan | Principal Financial Group | $56,477.72 |
| EmblemHealth | Healthcare Partners Essential Plans | $4,313.51 |
| Horizon BCBS | Direct | $22,542.00 |
| Hamaspik | Medicare Advantage | $16,205.84 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $4,852.70 |
| EmblemHealth | IUOE Local 14-14B | $38,397.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $3,774.32 |
| Fidelis Care | Bronze (Exchange) | $6,470.27 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $3,594.60 |
| EmblemHealth | Enhanced Care (Medicaid) | $3,594.60 |
| EmblemHealth | HIP Access II | $24,010.00 |
| Sedgwick | WTC Health Program - Northwell | $8,102.92 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $3,594.60 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $22,542.00 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $3,594.60 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $4,852.70 |
| Fidelis Care | Platinum (Exchange) | $6,470.27 |
| BCBS (Out of State) | Medicare | $8,102.92 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $18,034.00 |
| EmblemHealth | Essential Plan 1, 200-250 | $4,313.51 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $20,288.00 |
| EmblemHealth | GHI Medicare PPO | $8,102.92 |
| Partners Health Plan | Medicaid MLTC | $3,594.60 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $3,594.60 |
| EmblemHealth | CMO Essential Plan 1 | $4,313.51 |
| EmblemHealth | Prime Platinum | $20,408.50 |
| CenterLight | Select | $8,264.98 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $8,102.92 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $4,852.70 |
| MagnaCare | Direct Plus Preferred | $27,095.15 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $8,102.92 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $4,852.70 |
| UnitedHealthcare | Independent | $25,891.00 |
| EmblemHealth | HIP | $24,010.00 |
| Cigna | Open Access PPO | $24,409.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $3,774.32 |
| UnitedHealthcare | PPO | $25,891.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $8,102.92 |
| EmblemHealth | HIP Child Health Plus | $3,594.60 |
| MetroPlus | Essential Plan 3-4 | $3,594.60 |
| MultiPlan | AXA Global Insurance | $56,477.72 |
| UnitedHealthcare - Oxford | Metro | $21,842.00 |
| MagnaCare | Direct Plus | $27,095.15 |
| EmblemHealth | HIP Medicare Supplement | $8,102.92 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $3,774.32 |
| EmblemHealth | GHI Behavioral Management Program | $38,397.00 |
| EmblemHealth | Prime Bronze | $20,408.50 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $3,774.32 |
| Riverspring Health Plans | Medicare Advantage | $8,102.92 |
| MagnaCare | PPO | $27,095.15 |
| EmblemHealth | Select Care Healthcare Partners | $20,408.50 |
| MagnaCare | American Plan Administrators | $27,095.15 |
| VNS Health | Total (Medicare + Medicaid) | $8,102.92 |
| Aetna | Indemnity | $8,102.92 |
| EmblemHealth | HIP Optum Health | $24,010.00 |
| EmblemHealth | HIP Montefiore | $24,010.00 |
| EmblemHealth | Essential Plan 2 | $4,313.51 |
| Healthfirst | Essential Plan 3-4 | $3,125.23 |
| HealthSmart | WTC Health Program - Stony Brook | $8,102.92 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $3,594.60 |
| Blue Cross Blue Shield | Pathway Enhanced | $4,313.51 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $4,313.51 |
| UnitedHealthcare - Oxford | Medicare Advantage | $8,102.92 |
| MultiPlan | Diversified Admin Corp | $56,477.72 |
| Senior Whole Health | All Plans | $8,102.92 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $18,034.00 |
| EmblemHealth | Select Care Basic Exchange | $20,408.50 |
| AgeWell (Deprecated) | Medicare Advantage | $8,102.92 |
| Cigna | HMO | $24,409.00 |
| HealthSmart | WTC Health Program - Northwell | $8,102.92 |
| EmblemHealth | Select Care Bronze Small Group | $20,408.50 |
| BCBS (Out of State) | HMO | $22,542.00 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $22,542.00 |
| 1199SEIU Funds | PPO | $14,680.00 |
| UnitedHealthcare | Choice | $25,891.00 |
| MultiPlan | Teamsters Allied Benefits | $56,477.72 |
| Blue Cross Blue Shield | EPO | $22,542.00 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $20,288.00 |
| MetroPlus | Essential Plan 1 | $3,594.60 |
| Centers Plan for Healthy Living | All Plans | $8,102.92 |
| EmblemHealth | HIP compre health epo | $24,010.00 |
| EmblemHealth | CMO Essential Plan 3 | $3,594.60 |
| Aetna | HMO | $39,522.53 |
| First Health | PPO | $56,477.72 |
| CenterLight | Direct | $8,264.98 |
| MultiPlan | Global Excel Management | $56,477.72 |
| EmblemHealth | HIP POS | $24,010.00 |
| GEHA | All Plans | $39,522.53 |
| HealthSmart | WTC Health Program - Mt. Sinai | $8,102.92 |
| First Health | Commercial HMO | $60,822.16 |
| Fidelis Care | Child Health Plus (CHP) | $4,457.30 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $8,102.92 |
| Blue Cross Blue Shield | Hotel Trades Council | $22,542.00 |
| EmblemHealth | Prime Gold | $20,408.50 |
| MetroPlus | Essential Plan 4 | $3,594.60 |
| BCBS (Out of State) | EPO | $22,542.00 |
| EmblemHealth | GHI Medicare Supplement | $8,102.92 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $24,010.00 |
| EmblemHealth | BCBS GHI Composite | $22,542.00 |
| EmblemHealth | Select Care Platinum Exchange | $20,408.50 |
| Healthfirst | Senior Health Partners (MLTC) | $3,125.23 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $8,102.92 |
| EmblemHealth | HIP Healthcare Partners HMO | $24,010.00 |
| EmblemHealth | American Plan Administrators | $38,397.00 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $18,034.00 |
| EmblemHealth | Select Care HMO | $20,408.50 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $18,034.00 |
| MagnaCare | JIB Members | $27,095.15 |
| Blue Cross Blue Shield | Federal Program | $22,542.00 |
| EmblemHealth | Select Care PPOu00a0 | $20,408.50 |
| EmblemHealth | HIP VIP Medicare Bold | $8,102.92 |
| Aetna | Allied ASA PPO | $39,522.53 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $3,774.32 |
| UnitedHealthcare | POMCO (UMR) | $25,891.00 |
| EmblemHealth | Select Care EPO | $20,408.50 |
| MultiPlan | Mutual of Omaha | $56,477.72 |
| Blue Cross Blue Shield | POS | $22,542.00 |
| Aetna | Signature Administrators PPO | $39,522.53 |
| EmblemHealth | HIP Prime Basic | $20,408.50 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $3,774.32 |
| Blue Cross Blue Shield | Global Transplants | $22,542.00 |
| UnitedHealthcare | Medicare Advantage | $8,102.92 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $8,102.92 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $8,102.92 |
| Better Health Plan | All Plans | $60,822.16 |
| Aetna | Student Health | $39,522.53 |
| 1199SEIU Funds | Member Choice Home Care Select | $14,680.00 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $3,594.60 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $8,102.92 |
| Cigna | MVP-Cigna Network | $24,409.00 |
| BCBS (Out of State) | POS | $22,542.00 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $7,189.19 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $25,891.00 |
| Blue Cross Blue Shield | Local 32 BJ | $22,542.00 |
| Anthem BCBS | Optum | $22,542.00 |
| BCBS (Out of State) | PPO | $22,542.00 |
| MultiPlan | PPO | $56,477.72 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $20,288.00 |
| Aetna | POS | $39,522.53 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $8,102.92 |
| MultiPlan | US Life Insurance Co | $56,477.72 |
| Fidelis Care | Native American (Exchange) | $6,470.27 |
| Aetna | Chesterfield Resources ASA PPO | $39,522.53 |
| Aetna | PPO | $39,522.53 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $22,542.00 |
| Fidelis Care | Silver 250 (Exchange) | $6,470.27 |
| Partners Health Plan | FIDA | $8,102.92 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $3,594.60 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $8,102.92 |
| MetroPlus | BronzePlus | $16,043.79 |
| Aetna | Healthscope ASA PPO | $39,522.53 |
| MultiPlan | Meritain Health | $56,477.72 |
| Blue Cross Blue Shield | HMO | $22,542.00 |
| Blue Cross Blue Shield | Blue Connection | $22,542.00 |
| EmblemHealth | GHI Medicare HMO | $8,102.92 |
| MultiPlan | Guardian Life Insurance Co | $56,477.72 |
| Blue Cross Blue Shield | Healthy New York | $22,542.00 |
| Aetna | Open Access Elect Choice EPO | $39,522.53 |
| Aetna | Meritain Health | $39,522.53 |
| Blue Cross Blue Shield | Senior Care Supplemental | $8,102.92 |
| MetroPlus | PlatinumPlus | $16,043.79 |
| EmblemHealth | HIP VIP Medicare Affinity | $8,102.92 |
| MetroPlus | GoldPlus | $16,043.79 |
| Cigna | NALC PPO | $24,409.00 |
| Fidelis Care | Bronze for Children (Exchange) | $6,470.27 |
| VNS Health | EasyCare (Medicare Advantage) | $8,102.92 |
| Elderplan | FIDA | $8,102.92 |
| Cigna | Great West HMO | $24,409.00 |
| Cigna | Wellfleet Student | $24,409.00 |
| Aetna | Nippon Life ASA PPO | $39,522.53 |
| Fidelis Care | Gold (Exchange) | $6,470.27 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $3,594.60 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $38,397.00 |
| Cigna | Great West PPO | $24,409.00 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $3,594.60 |
| MagnaCare | Independent Care Plus | $27,095.15 |
| Veterans Choice | Veterans Choice Program | $8,102.92 |
| VNS Health | MLTC (Medicaid) | $3,594.60 |
| MultiPlan | PHCS Savility | $56,477.72 |
| BCBS (Out of State) | Indemnity | $22,542.00 |
| MultiPlan | Global Health Management | $56,477.72 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $3,594.60 |
| MagnaCare | Capital District Physicians Health Plan | $27,095.15 |
| Aetna | Global National Transplant | $39,522.53 |
| MetroPlus | Medicaid Managed Care | $3,594.60 |
| EmblemHealth | HIP VIP Medicare Reserve | $8,102.92 |
| Aetna | Christian Brothers ASA PPO | $39,522.53 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $3,774.32 |
| MultiPlan | PHP Healthcare (Champus) | $56,477.72 |
| EmblemHealth | Vytra HMO | $24,010.00 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $18,034.00 |
| Blue Cross Blue Shield | UniCare | $22,542.00 |
| 1199SEIU Funds | Home Care Benefit Fund | $14,680.00 |
| Healthfirst | Essential Plan 4 | $3,125.23 |
| Partners Health Plan | Medicare Advantage | $8,102.92 |
| EmblemHealth | Select Care Gold Small Group | $20,408.50 |
| BCBS (Out of State) | POS (Suitcase Logo) | $22,542.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $22,542.00 |
| Fidelis Care | Silver for Children (Exchange) | $6,470.27 |
| UnitedHealthcare | Optum Health | $25,891.00 |
| Aetna | Coresource ASA PPO | $39,522.53 |
| UnitedHealthcare | Student Resources | $25,891.00 |
| EmblemHealth | Essential Plan 4 | $3,594.60 |
| Healthfirst | Personal Wellness Plan (HARP) | $3,594.60 |
| Healthfirst | Personal Wellness Plan (HARP) | $3,125.23 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $3,774.32 |
| Fidelis Care | Catastrophic (Exchange) | $6,470.27 |
| UnitedHealthcare | Choice (NY Power Authority) | $25,891.00 |
| Fidelis Care | Essential Plan 2 | $7,728.38 |
| Fidelis Care | Platinum for Children (Exchange) | $6,470.27 |
| Health Net | PPO | $56,477.72 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $22,542.00 |
| Healthfirst | Medicaid Managed Care | $3,125.23 |
| Aetna | Medicare Advantage | $8,102.92 |
| MagnaCare | National Health Plan | $27,095.15 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $3,594.60 |
| EmblemHealth | Select Care Gold Exchange | $20,408.50 |
| EmblemHealth | CMO Essential Plan 2 | $4,313.51 |
| UnitedHealthcare - Oxford | Freedom | $21,842.00 |
| Champus | Unysis Corp | $8,102.92 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $8,102.92 |
| Aetna | Starmark ASA PPO | $39,522.53 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $4,313.51 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $20,408.50 |
| EmblemHealth | Prime Silver | $20,408.50 |
| Cigna | Tufts Health Plan | $24,409.00 |
| Aetna | Wellnet ASA PPO | $39,522.53 |
| Fidelis Care | Medicaid Managed Care | $4,457.30 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $8,102.92 |
| EmblemHealth | Select Care Silver Exchange | $20,408.50 |
| MetroPlus | Essential Plan 3 | $3,594.60 |
| MetroPlus | SilverPlus | $16,043.79 |
| MultiPlan | Kaiser Permanente | $56,477.72 |
| Blue Cross Blue Shield | PPO | $22,542.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $8,102.92 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $8,102.92 |
| UnitedHealthcare | EPO | $25,891.00 |
| MetroPlus | Essential Plan 1-2, 200-250 | $3,594.60 |
| Fidelis Care | Essential Plan 4 | $4,457.30 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $22,542.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $3,774.32 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $8,102.92 |
| Amida Care | Medicaid Managed Care | $3,594.60 |
| Blue Cross Blue Shield | Blue Priority PPO | $22,542.00 |
| MetroPlus | GoldCare 2 | $7,692.43 |
| MetroPlus | Essential Plan 2 | $3,594.60 |
| MagnaCare | JIB Employees Security Fund | $27,095.15 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $24,409.00 |
| EmblemHealth | GHI HMO | $38,397.00 |
| UnitedHealthcare | AARP | $8,102.92 |
| Blue Cross Blue Shield | Pathway | $4,313.51 |
| Anthem BCBS HealthPlus | Medicare Advantage | $8,102.92 |
| MultiPlan | Humana Health Plan | $56,477.72 |
| MultiPlan | QualCare Inc | $56,477.72 |
| EmblemHealth | HIP PPO | $24,010.00 |
| Cigna | PPO | $24,409.00 |
| MultiPlan | Paramount Insurance | $56,477.72 |
| Healthfirst | Essential Plan 3 | $3,125.23 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $22,542.00 |
| MetroPlus | Gold | $7,692.43 |
| Humana | All Commercial Plans | $56,477.72 |
| EmblemHealth | Bridge | $24,010.00 |
| EmblemHealth | Essential Plan 3 | $3,594.60 |
| UnitedHealthcare | POS | $25,891.00 |
| VA Community Care Network | Optum | $8,102.92 |
| Anthem BCBS | Empire Plan, Value Options | $22,542.00 |
| EmblemHealth | Select Care Bronze Exchange | $20,408.50 |
| Cigna | Open Access | $24,409.00 |
| Blue Cross Blue Shield | Pathway X Enhanced | $4,313.51 |
| Fidelis Care | Essential Plan 3 | $4,457.30 |
| CenterLight | PACE | $8,264.98 |
| MultiPlan | PHCS Director Guild | $56,477.72 |
| HealthSmart | WTC Health Program - FDNY | $8,102.92 |
| MultiPlan | Fiserv Health | $56,477.72 |
| EmblemHealth | Select Care Silver Small Group | $20,408.50 |
| Cigna | Open Access HMO | $24,409.00 |
| MultiPlan | Nippon Life | $56,477.72 |
| Fidelis Care | Wellcare Medicare Advantage | $8,102.92 |
| Anthem BCBS HealthPlus | All Exchange Plans | $4,313.51 |
| EmblemHealth | HIP VIP Medicare Montefiore | $8,102.92 |
| VNS Health | SelectHealth (Medicaid) | $3,594.60 |
| HealthSmart | WTC Health Program - NYCHHC | $8,102.92 |
| Blue Cross Blue Shield | Indemnity | $22,542.00 |
| UnitedHealthcare | Golden Rule Insurance | $25,891.00 |
| EmblemHealth | HIP SmartStart | $24,010.00 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $22,542.00 |
| EmblemHealth | WLNY-TV | $38,397.00 |
| CenterLight | PACE Medicare HMO | $8,264.98 |
| UnitedHealthcare | WTC Health Program | $8,102.92 |
| MultiPlan | Administrative Concepts | $56,477.72 |
| Fidelis Care | Essential Plan 1 | $7,728.38 |
| Anthem BCBS | All Plans | $22,542.00 |
| EmblemHealth | CMO Essential Plan 4 | $3,594.60 |
| EmblemHealth | Select Care Platinum Small Group | $20,408.50 |
| MetroPlus | Child Health Plus (CHP) | $3,594.60 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $3,594.60 |
| MultiPlan | Capital District Physicians Health Plan | $56,477.72 |
| Cigna | Premier Plus | $24,409.00 |
| Partners Health Plan | Medicaid | $3,594.60 |
| UnitedHealthcare | Core | $25,891.00 |
| MetroPlus | MedPlus | $16,043.79 |
| Cigna | Indemnity | $24,409.00 |
| EmblemHealth | GHI EPO | $38,397.00 |
| UnitedHealthcare - Oxford | Optum Health | $21,842.00 |
| UnitedHealthcare | Navigate | $25,891.00 |
| Cigna | LifeSOURCE | $24,409.00 |
| EmblemHealth | HIP Access I | $24,010.00 |
| UnitedHealthcare - Oxford | Liberty | $21,842.00 |
| UnitedHealthcare | Charter | $25,891.00 |