Price of Upper Eyelid Revision at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Upper Eyelid Revision
Service Codes: CPT 15822
This procedure involves correcting or improving the appearance of the upper eyelid, often due to previous surgery or other issues. It aims to enhance eyelid function and aesthetics.
Pricing Overview
Cash Price
$29,181.76
(Based on gross charge; uninsured discount not provided)Median Price
$6,550.00
Price Range
$908.68 - $24,512.68
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| EmblemHealth | Enhanced Care (Medicaid) | $2,350.49 |
| MetroPlus | Essential Plan 1-2, 200-250 | $2,350.49 |
| MultiPlan | Nippon Life | $22,761.77 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $4,700.97 |
| Amida Care | Medicaid Managed Care | $2,350.49 |
| Fidelis Care | Wellcare Medicare Advantage | $2,114.18 |
| Blue Cross Blue Shield | HMO | $9,619.00 |
| Blue Cross Blue Shield | Pathway | $2,820.58 |
| EmblemHealth | HIP VIP Medicare Montefiore | $2,114.18 |
| UnitedHealthcare - Oxford | Freedom | $5,318.00 |
| MetroPlus | Essential Plan 2 | $2,350.49 |
| Blue Cross Blue Shield | Blue Connection | $9,619.00 |
| EmblemHealth | HIP Access II | $7,558.00 |
| EmblemHealth | Select Care Gold Exchange | $9,585.45 |
| HealthSmart | WTC Health Program - NYCHHC | $2,114.18 |
| MetroPlus | SilverPlus | $4,186.07 |
| Partners Health Plan | Medicaid MLTC | $2,350.49 |
| MagnaCare | National Health Plan | $13,547.57 |
| Blue Cross Blue Shield | Healthy New York | $9,619.00 |
| MultiPlan | Administrative Concepts | $22,761.77 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $8,657.00 |
| CenterLight | PACE Medicare HMO | $2,156.46 |
| Better Health Plan | All Plans | $24,512.68 |
| Aetna | Starmark ASA PPO | $9,647.71 |
| Healthfirst | Essential Plan 3-4 | $908.68 |
| MultiPlan | Capital District Physicians Health Plan | $22,761.77 |
| UnitedHealthcare | POS | $6,762.00 |
| EmblemHealth | HIP PPO | $7,558.00 |
| Blue Cross Blue Shield | Pathway X Enhanced | $2,820.58 |
| EmblemHealth | Essential Plan 3 | $2,350.49 |
| Blue Cross Blue Shield | EPO | $9,619.00 |
| Veterans Choice | Veterans Choice Program | $2,114.18 |
| BCBS (Out of State) | Indemnity | $9,619.00 |
| Anthem BCBS HealthPlus | All Exchange Plans | $2,820.58 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $2,114.18 |
| MultiPlan | Screen Actors Guild | $22,761.77 |
| EmblemHealth | HIP | $7,558.00 |
| UnitedHealthcare | POMCO (UMR) | $22,761.77 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $2,114.18 |
| EmblemHealth | American Plan Administrators | $11,277.00 |
| Partners Health Plan | Medicare Advantage | $2,114.18 |
| Cigna | MVP-Cigna Network | $5,418.00 |
| MetroPlus | Medicare Advantage | $2,114.18 |
| Blue Cross Blue Shield | UniCare | $9,619.00 |
| VNS Health | SelectHealth (Medicaid) | $2,350.49 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $8,657.00 |
| Elderplan | All Plans | $2,114.18 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $2,114.18 |
| VillageCareMAX | All Plans | $2,114.18 |
| Fidelis Care | Bronze for Children (Exchange) | $4,230.87 |
| BCBS (Out of State) | POS (Suitcase Logo) | $9,619.00 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $9,619.00 |
| Aetna | PPO | $9,647.71 |
| Fidelis Care | Gold (Exchange) | $4,230.87 |
| MetroPlus | Child Health Plus (CHP) | $2,350.49 |
| MultiPlan | Healthnet of California | $22,761.77 |
| MultiPlan | PHCS | $22,761.77 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $2,350.49 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $2,350.49 |
| EmblemHealth | HIP Optum Health | $7,558.00 |
| UnitedHealthcare | Navigate | $6,762.00 |
| Aetna | Healthscope ASA PPO | $9,647.71 |
| EmblemHealth | HIP Montefiore | $7,558.00 |
| Partners Health Plan | Medicaid | $2,350.49 |
| MultiPlan | Principal Financial Group | $22,761.77 |
| HealthSmart | WTC Health Program - NYU | $2,114.18 |
| UnitedHealthcare | Charter | $6,762.00 |
| Healthfirst | Senior Health Partners (MLTC) | $908.68 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $2,114.18 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $7,695.00 |
| 1199SEIU Funds | Home Care Benefit Fund | $6,550.00 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $2,114.18 |
| Aetna | Meritain Health | $9,647.71 |
| Blue Cross Blue Shield | POS | $9,619.00 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $2,114.18 |
| Blue Cross Blue Shield | Global Transplants | $9,619.00 |
| MetroPlus | MedPlus | $4,186.07 |
| Sedgwick | WTC Health Program - Northwell | $2,114.18 |
| Blue Cross Blue Shield | PPO | $9,619.00 |
| Fidelis Care | Silver for Children (Exchange) | $4,230.87 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $2,820.58 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $2,468.01 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $9,619.00 |
| Anthem BCBS HealthPlus | Medicaid | $2,350.49 |
| BCBS (Out of State) | Medicare | $2,114.18 |
| Fidelis Care | Essential Plan 2 | $5,053.54 |
| Blue Cross Blue Shield | Blue Priority PPO | $9,619.00 |
| EmblemHealth | GHI Medicare PPO | $2,114.18 |
| Fidelis Care | Catastrophic (Exchange) | $4,230.87 |
| Cigna | NALC PPO | $5,418.00 |
| UnitedHealthcare - Oxford | Optum Health | $5,318.00 |
| Fidelis Care | Platinum for Children (Exchange) | $4,230.87 |
| UnitedHealthcare - Oxford | Liberty | $5,318.00 |
| UnitedHealthcare | HMO | $6,762.00 |
| MetroPlus | Gold | $2,350.49 |
| Cigna | Great West HMO | $5,418.00 |
| Cigna | Wellfleet Student | $5,418.00 |
| EmblemHealth | HIP compre health epo | $7,558.00 |
| CenterLight | Select | $2,156.46 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $2,468.01 |
| Aetna | Global National Transplant | $9,647.71 |
| Cigna | Great West PPO | $5,418.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| EmblemHealth | Healthcare Partners Essential Plans | $2,820.58 |
| EmblemHealth | HIP POS | $7,558.00 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $9,619.00 |
| MultiPlan | Fiserv Health | $22,761.77 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $7,558.00 |
| MultiPlan | AXA Global Insurance | $22,761.77 |
| Anthem BCBS | Empire Plan, Value Options | $9,619.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $2,114.18 |
| CenterLight | PACE | $2,156.46 |
| Aetna | Coresource ASA PPO | $9,647.71 |
| EmblemHealth | HIP Healthcare Partners HMO | $7,558.00 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| EmblemHealth | Essential Plan 1, 200-250 | $2,820.58 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $2,350.49 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $2,350.49 |
| EmblemHealth | CMO Essential Plan 1 | $2,820.58 |
| VNS Health | Total (Medicare + Medicaid) | $2,114.18 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $2,350.49 |
| UnitedHealthcare | WTC Health Program | $2,114.18 |
| 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 |
| Aetna | Wellnet ASA PPO | $9,647.71 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $2,468.01 |
| Anthem BCBS | All Plans | $9,619.00 |
| EmblemHealth | Select Care Silver Exchange | $9,585.45 |
| Fidelis Care | Native American (Exchange) | $4,230.87 |
| UnitedHealthcare | Independent | $6,762.00 |
| MultiPlan | Diversified Admin Corp | $22,761.77 |
| Cigna | Tufts Health Plan | $5,418.00 |
| UnitedHealthcare | PPO | $6,762.00 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $2,468.01 |
| Fidelis Care | Silver 250 (Exchange) | $4,230.87 |
| Senior Whole Health | All Plans | $2,114.18 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $2,468.01 |
| AgeWell (Deprecated) | Medicare Advantage | $2,114.18 |
| EmblemHealth | HIP Child Health Plus | $2,350.49 |
| MetroPlus | Essential Plan 3-4 | $2,350.49 |
| HealthSmart | WTC Health Program - Northwell | $2,114.18 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $2,114.18 |
| MultiPlan | Teamsters Allied Benefits | $22,761.77 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $9,619.00 |
| UnitedHealthcare | Golden Rule Insurance | $6,762.00 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $5,418.00 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $9,619.00 |
| First Health | PPO | $22,761.77 |
| Cigna | PPO | $5,418.00 |
| EmblemHealth | Essential Plan 2 | $2,820.58 |
| MultiPlan | Global Excel Management | $22,761.77 |
| CenterLight | Direct | $2,156.46 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $7,695.00 |
| EmblemHealth | Select Care Bronze Exchange | $9,585.45 |
| Blue Cross Blue Shield | Pathway Enhanced | $2,820.58 |
| Fidelis Care | Child Health Plus (CHP) | $2,914.60 |
| HealthSmart | WTC Health Program - Mt. Sinai | $2,114.18 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $2,820.58 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $3,173.16 |
| 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 | Open Access PPO (Home-based Only) | $9,619.00 |
| UnitedHealthcare | Core | $6,762.00 |
| Healthfirst | Essential Plan 4 | $908.68 |
| EmblemHealth | GHI Medicare Supplement | $2,114.18 |
| Cigna | Open Access | $5,418.00 |
| EmblemHealth | Select Care Silver Small Group | $9,585.45 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $2,114.18 |
| MagnaCare | Direct Plus | $13,547.57 |
| 1199SEIU Funds | PPO | $6,550.00 |
| EmblemHealth | Prime Bronze | $9,585.45 |
| Healthfirst | Personal Wellness Plan (HARP) | $908.68 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $3,173.16 |
| EmblemHealth | Select Care Healthcare Partners | $9,585.45 |
| MetroPlus | GoldCare 2 | $2,350.49 |
| Healthfirst | Medicaid Managed Care | $908.68 |
| Horizon BCBS | Direct | $9,619.00 |
| Hamaspik | Medicare Advantage | $4,228.36 |
| Fidelis Care | Silver (Exchange) | $4,230.87 |
| EmblemHealth | HIP VIP Medicare Bold | $2,114.18 |
| EmblemHealth | GHI HMO | $11,277.00 |
| MultiPlan | Mutual of Omaha | $22,761.77 |
| EmblemHealth | Select Care Platinum Small Group | $9,585.45 |
| MetroPlus | Essential Plan 1 | $2,350.49 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $3,173.16 |
| VNS Health | MLTC (Medicaid) | $2,350.49 |
| EmblemHealth | CMO Essential Plan 3 | $2,350.49 |
| UnitedHealthcare | Medicare Advantage | $2,114.18 |
| MetroPlus | Medicaid Managed Care | $2,350.49 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $3,173.16 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $2,114.18 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $2,114.18 |
| Cigna | Premier Plus | $5,418.00 |
| EmblemHealth | Select Care Basic Exchange | $9,585.45 |
| MetroPlus | Essential Plan 4 | $2,350.49 |
| Cigna | Indemnity | $5,418.00 |
| Cigna | LifeSOURCE | $5,418.00 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $2,114.18 |
| EmblemHealth | Vytra HMO | $7,558.00 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $2,468.01 |
| MetroPlus | Essential Plan 3 | $2,350.49 |
| Cigna | Cigna Managed Care/POS | $5,418.00 |
| Aetna | Open Access HMO | $9,647.71 |
| MultiPlan | PPO | $22,761.77 |
| Aetna | HMO | $9,647.71 |
| Healthfirst | Essential Plan 3 | $908.68 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $2,468.01 |
| EmblemHealth | HIP Medicare Supplement | $2,114.18 |
| Fidelis Care | Platinum (Exchange) | $4,230.87 |
| GEHA | All Plans | $9,647.71 |
| MultiPlan | US Life Insurance Co | $22,761.77 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $2,114.18 |
| Riverspring Health Plans | Medicare Advantage | $2,114.18 |
| Cigna | Evernorth Behavioral Health | $5,418.00 |
| Partners Health Plan | FIDA | $2,114.18 |
| MultiPlan | Meritain Health | $22,761.77 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $2,114.18 |
| Aetna | Indemnity | $2,114.18 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $9,619.00 |
| EmblemHealth | GHI EPO | $11,277.00 |
| EmblemHealth | Select Care HMO | $9,585.45 |
| HealthSmart | WTC Health Program - Stony Brook | $2,114.18 |
| MultiPlan | Guardian Life Insurance Co | $22,761.77 |
| EmblemHealth | GHI Medicare HMO | $2,114.18 |
| EmblemHealth | Select Care PPOu00a0 | $9,585.45 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $2,350.49 |
| MagnaCare | JIB Members | $13,547.57 |
| UnitedHealthcare - Oxford | Medicare Advantage | $2,114.18 |
| Aetna | Allied ASA PPO | $9,647.71 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $6,762.00 |
| Blue Cross Blue Shield | Senior Care Supplemental | $2,114.18 |
| EmblemHealth | Select Care EPO | $9,585.45 |
| EmblemHealth | HIP VIP Medicare Affinity | $2,114.18 |
| VNS Health | EasyCare (Medicare Advantage) | $2,114.18 |
| Elderplan | FIDA | $2,114.18 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $11,277.00 |
| EmblemHealth | HIP Prime Basic | $9,585.45 |
| Aetna | Signature Administrators PPO | $9,647.71 |
| 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 |
| Aetna | Student Health | $9,647.71 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $9,619.00 |
| MultiPlan | PHCS Savility | $22,761.77 |
| MultiPlan | Global Health Management | $22,761.77 |
| Centers Plan for Healthy Living | All Plans | $2,114.18 |
| Fidelis Care | Essential Plan 1 | $5,053.54 |
| EmblemHealth | GHI PPO | $11,277.00 |
| MultiPlan | PHP Healthcare (Champus) | $22,761.77 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $2,350.49 |
| EmblemHealth | Bridge | $7,558.00 |
| EmblemHealth | HIP VIP Medicare Reserve | $2,114.18 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| EmblemHealth | GHI composite | $11,277.00 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $2,114.18 |
| UnitedHealthcare - Oxford | Metro | $5,318.00 |
| Healthfirst | Child Health Plus (CHP) | $908.68 |
| EmblemHealth | IUOE Local 14-14B | $11,277.00 |
| Blue Cross Blue Shield | Hotel Trades Council | $9,619.00 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $4,700.97 |
| Cigna | Open Access PPO | $5,418.00 |
| BCBS (Out of State) | EPO | $9,619.00 |
| MetroPlus | BronzePlus | $4,186.07 |
| EmblemHealth | BCBS GHI Composite | $9,619.00 |
| Health Net | PPO | $22,761.77 |
| Fidelis Care | Gold for Children (Exchange) | $4,230.87 |
| Aetna | POS | $9,647.71 |
| EmblemHealth | CMO Essential Plan 4 | $2,350.49 |
| UnitedHealthcare | Choice | $6,762.00 |
| MagnaCare | PPO | $13,547.57 |
| Cigna | Open Access HMO | $5,418.00 |
| Aetna | Chesterfield Resources ASA PPO | $9,647.71 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| Aetna | Medicare Advantage | $2,114.18 |
| EmblemHealth | HIP SmartStart | $7,558.00 |
| Blue Cross Blue Shield | Federal Program | $9,619.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $2,468.01 |
| MetroPlus | PlatinumPlus | $4,186.07 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $2,350.49 |
| MetroPlus | GoldPlus | $4,186.07 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $2,350.49 |
| Champus | Unysis Corp | $2,114.18 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $9,619.00 |
| Fidelis Care | Medicaid Managed Care | $2,914.60 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $2,350.49 |
| Aetna | Open Access Elect Choice EPO | $9,647.71 |
| MultiPlan | Kaiser Permanente | $22,761.77 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $2,114.18 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $2,114.18 |
| Fidelis Care | Essential Plan 4 | $2,914.60 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $2,468.01 |
| EmblemHealth | HIP Access I | $7,558.00 |
| UnitedHealthcare | Optum Health | $6,762.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $2,114.18 |
| UnitedHealthcare | Student Resources | $6,762.00 |
| EmblemHealth | Select Care Bronze Small Group | $9,585.45 |
| AgeWell (Deprecated) | Medicaid Managed Care | $2,350.49 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $2,114.18 |
| UnitedHealthcare | Choice (NY Power Authority) | $6,762.00 |
| Aetna | Nippon Life ASA PPO | $9,647.71 |
| MultiPlan | Humana Health Plan | $22,761.77 |
| EmblemHealth | Essential Plan 4 | $2,350.49 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $8,657.00 |
| Healthfirst | Personal Wellness Plan (HARP) | $2,350.49 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $8,657.00 |
| Fidelis Care | Bronze (Exchange) | $4,230.87 |
| MultiPlan | QualCare Inc | $22,761.77 |
| UnitedHealthcare | AARP | $2,114.18 |
| Cigna | HMO | $5,418.00 |
| Anthem BCBS HealthPlus | Medicare Advantage | $2,114.18 |
| EmblemHealth | HIP EPO | $7,558.00 |
| EmblemHealth | GHI Behavioral Management Program | $11,277.00 |
| First Health | Commercial HMO | $24,512.68 |
| MultiPlan | Paramount Insurance | $22,761.77 |
| EmblemHealth | CMO Essential Plan 2 | $2,820.58 |
| EmblemHealth | HIP HMO | $7,558.00 |
| BCBS (Out of State) | POS | $9,619.00 |
| UnitedHealthcare | POMCO (UMR) | $6,762.00 |
| Blue Cross Blue Shield | Local 32 BJ | $9,619.00 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $2,350.49 |
| Humana | All Commercial Plans | $22,761.77 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $2,820.58 |
| EmblemHealth | HIP compre health | $7,558.00 |
| Anthem BCBS | Optum | $9,619.00 |
| Aetna | Christian Brothers ASA PPO | $9,647.71 |
| EmblemHealth | WLNY-TV | $11,277.00 |
| BCBS (Out of State) | PPO | $9,619.00 |
| EmblemHealth | Prime Gold | $9,585.45 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $2,468.01 |
| VA Community Care Network | Optum | $2,114.18 |
| 1199SEIU Funds | Member Choice Home Care Select | $6,550.00 |
| EmblemHealth | Select Care Gold Small Group | $9,585.45 |
| MultiPlan | PHCS Director Guild | $22,761.77 |
| EmblemHealth | Select Care Platinum Exchange | $9,585.45 |
| UnitedHealthcare | EPO | $6,762.00 |
| Fidelis Care | Essential Plan 3 | $2,914.60 |
| HealthSmart | WTC Health Program - FDNY | $2,114.18 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $2,350.49 |