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 |
|---|---|---|---|---|---|
| Comp. Metabolic Panel (14) Laboratory | SRV-UYD7UN | $8.00 | $7.20 | $6.80 | $6.40 |
| Cortisol Laboratory | SRV-KYGLBZ | $40.00 | $36.00 | $34.00 | $32.00 |
| DHEA-SULFATE Laboratory | SRV-NY4AJ6 | $11.00 | $9.90 | $9.35 | $8.80 |
| Drug Abuse, DOT-Unbund Laboratory | SRV-WKVSDV | $30.00 | $27.00 | $25.50 | $24.00 |
| Drug Panel 10 Laboratory | SRV-QD5BAE | $80.00 | $72.00 | $68.00 | $64.00 |
| Drug Panel 5 Laboratory | SRV-6BY4P6 | $40.00 | $36.00 | $34.00 | $32.00 |
| Drug Screen 10 w/Conf, Serum Laboratory | SRV-U2PVN6 | $273.00 | $245.70 | $232.05 | $218.40 |
| Ebv vca/ea ab igG Laboratory | SRV-FRA49Z | $65.00 | $58.50 | $55.25 | $52.00 |
| Epstein-Barr Virus (EBV) (Viral Capsid Antigen [VCA] and Early Antigen-Diffuse [EA(D)]), IgG Antibody Profile Laboratory | SRV-FKCVQS | $20.00 | $18.00 | $17.00 | $16.00 |
| Estradiol Laboratory | SRV-5NZ89D | $20.00 | $18.00 | $17.00 | $16.00 |
| Estrogens, Total Laboratory | SRV-5DL8MX | $30.00 | $27.00 | $25.50 | $24.00 |
| Ethyl Alcohol, Screen with Confirmation, Urine Laboratory | SRV-M9SV7C | $33.00 | $29.70 | $28.05 | $26.40 |
| Ferritin Laboratory | SRV-58VGHU | $15.00 | $13.50 | $12.75 | $12.00 |
| Folate (Folic Acid), Serum Laboratory | SRV-DX7YEF | $10.00 | $9.00 | $8.50 | $8.00 |
| Food Allergy Laboratory | SRV-QKA7AD | $364.00 | $327.60 | $309.40 | $291.20 |
| Free + Total PSA Laboratory | SRV-4MGJKP | $40.00 | $36.00 | $34.00 | $32.00 |
| FSH Laboratory | SRV-TCJT8R | $10.00 | $9.00 | $8.50 | $8.00 |
| FSH and LH Laboratory | SRV-SZD78K | $20.00 | $18.00 | $17.00 | $16.00 |
| GGT Laboratory | SRV-RV24UD | $6.00 | $5.40 | $5.10 | $4.80 |
| Glucose Laboratory | SRV-GSN9DD | $4.00 | $3.60 | $3.40 | $3.20 |
“—”: the plan has no special price for that service; its benefits or the price without membership apply.
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