Price of Unlisted Psychological Service at NYU Langone
Last Updated: 2024-07-01
Locations
Expand
NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Unlisted Psychological Service
Service Codes: CPT 90899, LOCAL 2025952
This service involves the provision of psychological assessment and treatment that does not fall under specific existing CPT codes. It is used for unique or complex cases requiring specialized care.
Pricing Overview
Cash Price
$94.03
Median Price
$247.44
Price Range
$36.36 - $445.38
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Cigna | LifeSOURCE | $296.92 |
| EmblemHealth | HIP POS | $361.26 |
| Blue Cross Blue Shield | Healthy New York | $321.67 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $36.36 |
| UnitedHealthcare | POS | $247.44 |
| Cigna | Cigna Managed Care/POS | $296.92 |
| MetroPlus | Essential Plan 3-4 | $179.61 |
| UnitedHealthcare | PPO | $247.44 |
| EmblemHealth | GHI Medicare HMO | $36.36 |
| Fidelis Care | Wellcare Medicare Advantage | $36.36 |
| Aetna | Global National Transplant | $296.92 |
| Hamaspik | Medicare Advantage | $54.54 |
| Blue Cross Blue Shield | Senior Care Supplemental | $36.36 |
| Blue Cross Blue Shield | EPO | $321.67 |
| MetroPlus | SilverPlus | $71.99 |
| Fidelis Care | Bronze (Exchange) | $323.30 |
| Cigna | Evernorth Behavioral Health | $296.92 |
| VNS Health | EasyCare (Medicare Advantage) | $36.36 |
| EmblemHealth | HIP Access II | $361.26 |
| Elderplan | FIDA | $36.36 |
| MultiPlan | Principal Financial Group | $386.00 |
| Aetna | Coresource ASA PPO | $296.92 |
| UnitedHealthcare | Golden Rule Insurance | $247.44 |
| EmblemHealth | GHI composite | $395.90 |
| Fidelis Care | Platinum (Exchange) | $323.30 |
| EmblemHealth | Essential Plan 2 | $215.53 |
| MultiPlan | Kaiser Permanente | $386.00 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $179.61 |
| EmblemHealth | IUOE Local 14-14B | $395.90 |
| Veterans Choice | Veterans Choice Program | $36.36 |
| Blue Cross Blue Shield | UniCare | $321.67 |
| Blue Cross Blue Shield | Pathway Enhanced | $215.53 |
| 1199SEIU Funds | Home Care Benefit Fund | $247.44 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $215.53 |
| EmblemHealth | HIP VIP Medicare Reserve | $36.36 |
| BCBS (Out of State) | POS (Suitcase Logo) | $321.67 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $321.67 |
| UnitedHealthcare | Core | $247.44 |
| Aetna | Starmark ASA PPO | $296.92 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $36.36 |
| UnitedHealthcare | Navigate | $247.44 |
| MultiPlan | Humana Health Plan | $386.00 |
| First Health | Commercial HMO | $415.69 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $36.36 |
| Aetna | Wellnet ASA PPO | $296.92 |
| UnitedHealthcare | Charter | $247.44 |
| MultiPlan | QualCare Inc | $386.00 |
| Partners Health Plan | Medicare Advantage | $36.36 |
| MetroPlus | Medicare Advantage | $36.36 |
| EmblemHealth | GHI HMO | $395.90 |
| MultiPlan | Paramount Insurance | $386.00 |
| Elderplan | All Plans | $36.36 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $36.36 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $359.22 |
| EmblemHealth | HIP | $361.26 |
| Humana | All Commercial Plans | $386.00 |
| Blue Cross Blue Shield | POS | $321.67 |
| Blue Cross Blue Shield | Global Transplants | $321.67 |
| MagnaCare | Independent Care Plus | $197.95 |
| MultiPlan | PHCS Director Guild | $386.00 |
| HealthSmart | WTC Health Program - NYU | $36.36 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $36.36 |
| MagnaCare | Capital District Physicians Health Plan | $197.95 |
| MultiPlan | Fiserv Health | $386.00 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $257.33 |
| 1199SEIU Funds | Member Choice Home Care Select | $247.44 |
| MultiPlan | Nippon Life | $386.00 |
| Blue Cross Blue Shield | Blue Priority PPO | $321.67 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $36.36 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $36.36 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $36.36 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $36.36 |
| MultiPlan | Administrative Concepts | $386.00 |
| MetroPlus | GoldCare 2 | $384.36 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $188.59 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $179.61 |
| BCBS (Out of State) | Medicare | $36.36 |
| BCBS (Out of State) | PPO | $321.67 |
| EmblemHealth | WLNY-TV | $395.90 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $179.61 |
| EmblemHealth | GHI Medicare PPO | $36.36 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $321.67 |
| UnitedHealthcare | AARP | $36.36 |
| EmblemHealth | CMO Essential Plan 2 | $215.53 |
| Anthem BCBS HealthPlus | Medicare Advantage | $36.36 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $135.59 |
| MultiPlan | Capital District Physicians Health Plan | $386.00 |
| VNS Health | MLTC (Medicaid) | $135.59 |
| Fidelis Care | Gold for Children (Exchange) | $323.30 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $215.53 |
| MagnaCare | National Health Plan | $197.95 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $179.61 |
| Anthem BCBS | Empire Plan, Value Options | $321.67 |
| UnitedHealthcare - Oxford | Metro | $247.44 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $321.67 |
| EmblemHealth | GHI EPO | $395.90 |
| EmblemHealth | HIP compre health epo | $361.26 |
| MultiPlan | Screen Actors Guild | $386.00 |
| UnitedHealthcare | POMCO (UMR) | $386.00 |
| Healthfirst | Personal Wellness Plan (HARP) | $135.59 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $36.36 |
| HealthSmart | WTC Health Program - FDNY | $36.36 |
| EmblemHealth | Vytra HMO | $361.26 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $222.69 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $222.69 |
| Blue Cross Blue Shield | Pathway | $215.53 |
| Cigna | HMO | $296.92 |
| UnitedHealthcare | Independent | $247.44 |
| EmblemHealth | HIP Child Health Plus | $179.61 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $395.90 |
| Cigna | Great West HMO | $296.92 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $361.26 |
| Anthem BCBS | All Plans | $321.67 |
| EmblemHealth | HIP VIP Medicare Montefiore | $36.36 |
| Fidelis Care | Essential Plan 2 | $386.16 |
| MagnaCare | JIB Employees Security Fund | $197.95 |
| EmblemHealth | HIP Healthcare Partners HMO | $361.26 |
| HealthSmart | WTC Health Program - NYCHHC | $36.36 |
| VNS Health | Total (Medicare + Medicaid) | $36.36 |
| MultiPlan | Healthnet of California | $386.00 |
| UnitedHealthcare | WTC Health Program | $36.36 |
| MultiPlan | PHCS | $386.00 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $257.33 |
| Aetna | Open Access HMO | $296.92 |
| EmblemHealth | GHI PPO | $395.90 |
| BCBS (Out of State) | Indemnity | $321.67 |
| Blue Cross Blue Shield | Pathway X Enhanced | $215.53 |
| GEHA | All Plans | $296.92 |
| Fidelis Care | Essential Plan 4 | $222.72 |
| EmblemHealth | American Plan Administrators | $395.90 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $321.67 |
| Senior Whole Health | All Plans | $36.36 |
| MultiPlan | Mutual of Omaha | $386.00 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $36.36 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $222.69 |
| Blue Cross Blue Shield | Blue Priority HMO | $321.67 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $321.67 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $179.61 |
| VillageCareMAX | All Plans | $36.36 |
| CenterLight | PACE Medicare HMO | $37.09 |
| MetroPlus | Essential Plan 1 | $179.61 |
| UnitedHealthcare | Choice | $247.44 |
| Aetna | Indemnity | $400.84 |
| EmblemHealth | CMO Essential Plan 3 | $179.61 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $257.33 |
| HealthSmart | WTC Health Program - Mt. Sinai | $36.36 |
| MetroPlus | Medicaid Managed Care | $179.61 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $257.33 |
| UnitedHealthcare - Oxford | Freedom | $247.44 |
| MetroPlus | Essential Plan 4 | $179.61 |
| Blue Cross Blue Shield | PPO | $321.67 |
| MultiPlan | AXA Global Insurance | $386.00 |
| MultiPlan | PPO | $386.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $36.36 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $188.59 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $321.67 |
| VNS Health | SelectHealth (Medicaid) | $135.59 |
| Cigna | MVP-Cigna Network | $296.92 |
| EmblemHealth | Essential Plan 4 | $179.61 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $222.69 |
| UnitedHealthcare | Optum Health | $247.44 |
| EmblemHealth | GHI Behavioral Management Program | $395.90 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $215.53 |
| Sedgwick | WTC Health Program - Northwell | $36.36 |
| UnitedHealthcare | Choice (NY Power Authority) | $247.44 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $179.61 |
| MagnaCare | Cement & Concrete Workers District Council | $197.95 |
| MultiPlan | Meritain Health | $386.00 |
| Partners Health Plan | Medicaid | $135.59 |
| EmblemHealth | HIP SmartStart | $361.26 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $188.59 |
| Fidelis Care | Bronze for Children (Exchange) | $323.30 |
| UnitedHealthcare | POMCO (UMR) | $247.44 |
| UnitedHealthcare | Medicare Advantage | $36.36 |
| Aetna | POS | $296.92 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $36.36 |
| EmblemHealth | Healthcare Partners Essential Plans | $215.53 |
| MultiPlan | Diversified Admin Corp | $386.00 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $36.36 |
| Fidelis Care | Gold (Exchange) | $323.30 |
| MetroPlus | Essential Plan 3 | $179.61 |
| MetroPlus | Essential Plan 1-2, 200-250 | $179.61 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $188.59 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $36.36 |
| UnitedHealthcare | EPO | $247.44 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $179.61 |
| AgeWell (Deprecated) | Medicaid Managed Care | $135.59 |
| MultiPlan | Teamsters Allied Benefits | $386.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $188.59 |
| EmblemHealth | Essential Plan 1, 200-250 | $215.53 |
| Cigna | NALC PPO | $296.92 |
| Blue Cross Blue Shield | Indemnity | $321.67 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $395.90 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $321.67 |
| EmblemHealth | HIP Medicare Supplement | $36.36 |
| First Health | PPO | $386.00 |
| EmblemHealth | HIP EPO | $361.26 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $247.44 |
| MultiPlan | Global Excel Management | $386.00 |
| Cigna | Wellfleet Student | $296.92 |
| Riverspring Health Plans | Medicare Advantage | $36.36 |
| Fidelis Care | Silver for Children (Exchange) | $323.30 |
| EmblemHealth | Essential Plan 3 | $179.61 |
| Cigna | Great West PPO | $296.92 |
| EmblemHealth | HIP compre health | $361.26 |
| Fidelis Care | Catastrophic (Exchange) | $323.30 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $242.47 |
| Partners Health Plan | FIDA | $36.36 |
| Fidelis Care | Platinum for Children (Exchange) | $323.30 |
| CenterLight | Select | $37.09 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $179.61 |
| Fidelis Care | Medicaid Managed Care | $222.72 |
| MagnaCare | Direct Plus Preferred | $197.95 |
| Aetna | HMO | $296.92 |
| HealthSmart | WTC Health Program - Stony Brook | $36.36 |
| Health Net | PPO | $386.00 |
| Aetna | Christian Brothers ASA PPO | $296.92 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $188.59 |
| UnitedHealthcare - Oxford | Medicare Advantage | $36.36 |
| BCBS (Out of State) | HMO | $321.67 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $321.67 |
| UnitedHealthcare - Oxford | Optum Health | $247.44 |
| 1199SEIU Funds | PPO | $247.44 |
| Anthem BCBS HealthPlus | All Exchange Plans | $215.53 |
| EmblemHealth | HIP VIP Medicare Affinity | $36.36 |
| CenterLight | PACE | $37.09 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $188.59 |
| Partners Health Plan | Medicaid MLTC | $135.59 |
| UnitedHealthcare - Oxford | Liberty | $247.44 |
| MagnaCare | Direct Plus | $197.95 |
| AgeWell (Deprecated) | Medicare Advantage | $36.36 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $188.59 |
| HealthSmart | WTC Health Program - Northwell | $36.36 |
| EmblemHealth | CMO Essential Plan 4 | $179.61 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $257.33 |
| MagnaCare | PPO | $197.95 |
| Three Rivers | All Plans (Home-based Only) | $445.38 |
| MagnaCare | American Plan Administrators | $197.95 |
| MetroPlus | Child Health Plus (CHP) | $179.61 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $179.61 |
| Blue Cross Blue Shield | Hotel Trades Council | $321.67 |
| Centers Plan for Healthy Living | All Plans | $36.36 |
| Aetna | Allied ASA PPO | $296.92 |
| BCBS (Out of State) | EPO | $321.67 |
| EmblemHealth | HIP PPO | $361.26 |
| Cigna | Tufts Health Plan | $296.92 |
| EmblemHealth | BCBS GHI Composite | $321.67 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $179.61 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $36.36 |
| Horizon BCBS | Direct | $321.67 |
| Fidelis Care | Essential Plan 3 | $222.72 |
| Aetna | Signature Administrators PPO | $296.92 |
| EmblemHealth | Bridge | $361.26 |
| EmblemHealth | GHI Medicare Supplement | $36.36 |
| Blue Cross Blue Shield | Federal Program | $321.67 |
| Fidelis Care | Native American (Exchange) | $323.30 |
| Aetna | Student Health | $296.92 |
| Anthem BCBS HealthPlus | Medicaid | $179.61 |
| Fidelis Care | Silver 250 (Exchange) | $323.30 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $321.67 |
| MetroPlus | BronzePlus | $71.99 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $296.92 |
| MultiPlan | US Life Insurance Co | $386.00 |
| Cigna | PPO | $296.92 |
| UnitedHealthcare | Student Resources | $247.44 |
| Aetna | Medicare Advantage | $36.36 |
| EmblemHealth | HIP VIP Medicare Bold | $36.36 |
| Fidelis Care | Essential Plan 1 | $386.16 |
| MetroPlus | PlatinumPlus | $71.99 |
| Champus | Unysis Corp | $36.36 |
| MetroPlus | GoldPlus | $71.99 |
| UnitedHealthcare | HMO | $247.44 |
| CenterLight | Direct | $37.09 |
| EmblemHealth | HIP Optum Health | $361.26 |
| MultiPlan | Guardian Life Insurance Co | $386.00 |
| EmblemHealth | HIP Montefiore | $361.26 |
| Cigna | Open Access | $296.92 |
| Cigna | Open Access PPO | $296.92 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $242.47 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $36.36 |
| Aetna | Chesterfield Resources ASA PPO | $296.92 |
| Aetna | PPO | $296.92 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $179.61 |
| Better Health Plan | All Plans | $415.69 |
| BCBS (Out of State) | POS | $321.67 |
| EmblemHealth | Enhanced Care (Medicaid) | $179.61 |
| Blue Cross Blue Shield | Local 32 BJ | $321.67 |
| MetroPlus | MedPlus | $71.99 |
| Anthem BCBS | Optum | $321.67 |
| Cigna | Open Access HMO | $296.92 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $36.36 |
| Aetna | Healthscope ASA PPO | $296.92 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $242.47 |
| MetroPlus | Essential Plan 2 | $179.61 |
| EmblemHealth | HIP Access I | $361.26 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $359.22 |
| MagnaCare | JIB Members | $197.95 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $188.59 |
| Aetna | Open Access Elect Choice EPO | $296.92 |
| MultiPlan | PHCS Savility | $386.00 |
| Aetna | Meritain Health | $296.92 |
| MultiPlan | Global Health Management | $386.00 |
| EmblemHealth | CMO Essential Plan 1 | $215.53 |
| Fidelis Care | Silver (Exchange) | $323.30 |
| MetroPlus | Gold | $384.36 |
| Fidelis Care | Child Health Plus (CHP) | $222.72 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $242.47 |
| MultiPlan | PHP Healthcare (Champus) | $386.00 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $36.36 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $188.59 |
| EmblemHealth | HIP HMO | $361.26 |
| Cigna | Premier Plus | $296.92 |
| Blue Cross Blue Shield | HMO | $321.67 |
| VA Community Care Network | Optum | $36.36 |
| Blue Cross Blue Shield | Blue Connection | $321.67 |
| Cigna | Indemnity | $296.92 |
| Aetna | Nippon Life ASA PPO | $296.92 |