Polina Yur'Yevna Sayess, MD
33 Windham Road Pelham, NH 03076
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $102 | 0% | $102 |
| Blood Test - Cholesterol Test, Lipid Panel | $99 | 0% | $99 |
| Blood Test - General Health Panel | $234 | 0% | $234 |
| Blood Test - Vitamin D-3 Level | $120 | 0% | $120 |
| Office Visit - Basic | $158 | 0% | $158 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $403 | 0% | $403 |
| Office Visit - Established Patient, High Complexity | $501 | 0% | $501 |
| Office Visit - Established Patient, Moderate Complexity | $357 | 0% | $357 |
| Office Visit - New Patient, Minor | $264 | 0% | $264 |
| Strep Test (Streptococcus, group A) | $103 | 0% | $103 |
| Urine Test - Pregnancy | $59 | 0% | $59 |
| Urine Test - Urinalysis, Manual Test | $57 | 0% | $57 |