Price lookup
Search a service and see its price with and without membership.
Member fee schedule, version 1
416 services
| Service | Code | Price without membership | Essential | Plus | Premier |
|---|---|---|---|---|---|
| Shot: Complex B Injection / Infusion | SRV-EXK4K7 | $15.00 | $13.50 | $12.75 | $12.00 |
| Shot: Glutathione Injection / Infusion | SRV-FQZNH2 | $20.00 | $18.00 | $17.00 | $16.00 |
| Shot: NAD Injection / Infusion | SRV-FJB6VH | $20.00 | $18.00 | $17.00 | $16.00 |
| Shot: Tri Immune Injection / Infusion | SRV-DQXLUY | $15.00 | $13.50 | $12.75 | $12.00 |
| Shot: Vitamin B-12 Injection / Infusion | SRV-F7YY9J | $15.00 | $13.50 | $12.75 | $12.00 |
| Shot: Vitamin C Injection / Infusion | SRV-4EHZC6 | $15.00 | $13.50 | $12.75 | $12.00 |
| Shot: Vitamin D Injection / Infusion | SRV-ZNXS3Y | $15.00 | $13.50 | $12.75 | $12.00 |
| Single Tendon's Origin or Insertion Site Injection Injection / Infusion | 20551 | $50.00 | $45.00 | $42.50 | $40.00 |
| Small Joint or Bursa, Aspiration and/or Injection Injection / Infusion | 20600 | $50.00 | $45.00 | $42.50 | $40.00 |
| Subcutaneous or Intramuscular Injection Injection / Infusion | 96372 | $15.00 | $13.50 | $12.75 | $12.00 |
| Tirzepatide - 1st Month Injection / Infusion | SRV-GZLSZT | $250.00 | $225.00 | $212.50 | $200.00 |
| Tirzepatide - 2nd Month Injection / Infusion | SRV-EHUWV7 | $300.00 | $270.00 | $255.00 | $240.00 |
| Tirzepatide - 3rd Month Injection / Infusion | SRV-JDT2M7 | $400.00 | $360.00 | $340.00 | $320.00 |
| Tirzepatide - 4th Month Injection / Infusion | SRV-SH2K6F | $500.00 | $450.00 | $425.00 | $400.00 |
| ABO Grouping and Rho(D) Typing Laboratory | SRV-4CNJSM | $16.00 | $14.40 | $13.60 | $12.80 |
| ACTH, Plasma Laboratory | SRV-KECTT6 | $234.00 | $210.60 | $198.90 | $187.20 |
| Aldosterone Laboratory | SRV-JH8YY6 | $693.00 | $623.70 | $589.05 | $554.40 |
| ALT (SGPT) Laboratory | SRV-87LET5 | $6.00 | $5.40 | $5.10 | $4.80 |
| Ami + Lipase Laboratory | SRV-6F5FJH | $24.00 | $21.60 | $20.40 | $19.20 |
| Ammonia, Plasma Laboratory | SRV-EW8FZ9 | $60.00 | $54.00 | $51.00 | $48.00 |
“—”: the plan has no special price for that service; its benefits or the price without membership apply.
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