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 |
|---|---|---|---|---|---|
| Testosterone,Free and Total Laboratory | SRV-Z2U3J2 | $40.00 | $36.00 | $34.00 | $32.00 |
| Testosterone, Free, Direct Laboratory | SRV-N5P7VH | $25.00 | $22.50 | $21.25 | $20.00 |
| Thyroid Panel Laboratory | SRV-YL99US | $6.00 | $5.40 | $5.10 | $4.80 |
| Thyroid Panel With TSH Laboratory | SRV-BRYRDM | $12.00 | $10.80 | $10.20 | $9.60 |
| Thyroid Profile Laboratory | SRV-GAFZ8Q | $10.00 | $9.00 | $8.50 | $8.00 |
| Thyroxine (T4) Laboratory | SRV-LCY2CH | $6.00 | $5.40 | $5.10 | $4.80 |
| Thyroxine (T4) Free, Direct Laboratory | SRV-ABW3UR | $15.00 | $13.50 | $12.75 | $12.00 |
| TIBC Laboratory | SRV-GQMR7F | $5.60 | $5.04 | $4.76 | $4.48 |
| Trasferin Laboratory | SRV-8AF74L | $10.00 | $9.00 | $8.50 | $8.00 |
| Triiodothyronine (T3) Laboratory | SRV-AN6WWJ | $8.00 | $7.20 | $6.80 | $6.40 |
| Triiodothyronine (T3), Free Laboratory | SRV-Y47Q73 | $15.00 | $13.50 | $12.75 | $12.00 |
| TSH Laboratory | SRV-TDQN62 | $8.00 | $7.20 | $6.80 | $6.40 |
| TSH & Free T4 Laboratory | SRV-CEAJ7R | $13.00 | $11.70 | $11.05 | $10.40 |
| Ureaplasma/Mycoplasma hominis Laboratory | SRV-AV6ZPV | $257.78 | $232.00 | $219.11 | $206.22 |
| Uric Acid Laboratory | SRV-2HTQXP | $6.00 | $5.40 | $5.10 | $4.80 |
| Urinalysis, Complete Laboratory | SRV-X4KHEC | $6.00 | $5.40 | $5.10 | $4.80 |
| Urinalysis, Routine Laboratory | SRV-8H9VKP | $6.00 | $5.40 | $5.10 | $4.80 |
| Urine Culture, Routine Laboratory | SRV-XQ6NRJ | $15.00 | $13.50 | $12.75 | $12.00 |
| Vaginal Yeast Culture Laboratory | SRV-9F9M6W | $25.00 | $22.50 | $21.25 | $20.00 |
| Vitamin B12 Laboratory | SRV-YUJQQ8 | $10.00 | $9.00 | $8.50 | $8.00 |
“—”: the plan has no special price for that service; its benefits or the price without membership apply.
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