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Dykal Health and Wellness does not accept commercial insurance plans. We require a non-refundable $175.00 deposit for each appointment which will be deducted from the cost of your services. 
Consultation via a video appointment. 
Additional charge applied once services are required. 
Services are not included 
Review of health history 
Includes:

Full physical examination.

Annual labs, if needed, will be at a separate cost.

 Breast Exam and pelvic examination
Routine annual
Cervical cancer screening
HPV testing 
Evaluation for sexually transmitted infections. This include the consultation, physical examination. Lab Testing is separately billed
This is a collection of cells from the cervix to check for the human papilloma virus high risk strains that may cause cervical cancer
Pelvic examination is included
Pap smear is at an additional cost. 
HPV testing may be added to Pap Smear 
This includes the consultation, physical examination. Lab tests for bacterial vaginosis, yeast infections, and trichomonas will be at an additional cost (if needed). STD testing would be at an additional charge if needed. 
This can be done via a virtual platform for the initial visit. However, prior to prescribing medications, an in-person visit is required for vital signs. 
Consultation is for the insertion of the product and 6 week follow up. This cost does not include the device (Mirena, Kyleena, Skyla or Paragard. Devices can be ordered by my office and patients may use their insurance to purchase the device through our approved distributor. 
A pregnancy test will be done prior to IUD placement if you are not on your menstrual cycle. There is an additional cost for the pregnancy test.
Cost of the removal of IUD product and consultation
This service includes pre-placement counseling, insertion of nexplanon device (device not included), and post-placement education. 
Device can be purchased using your insurance at our preferred distributor. 
A urine pregnancy test (for an additional fee) will be done if you are not currently on your menstrual cycle. 
This includes a consultation along with the removal of a nexplanon device. 
Excellent option for the first time parent who needs assistance with putting their preference list together. 1 support person allowed during this visit. Perfect for Telehealth
Additional fee of 100.00 applies for a PDF copy of a customized plan. 
Consultation for HRT
No Medications Included
Lab testing is an additional cost
This includes the cost of the Pellets along with the placement.
The initial consultation is at a separate cost to this procedure. 
Labs are at an additional cost for this service. 
Service recommended every 3 months