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Cost Estimator
ESTIMATE FOR
glycerin adult Supp MVHO
CPT: 10028134 
at Monson Test
using Cash - No Insurance
7/18/2026 12:42 AM
Monson Test Estimate
Patient portion estimate
$13.00*
Facility fee
$13.00
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$11.70
10% OFF for 30 days
This estimate covers only the fees from Monson Test and may not include any 3rd party fees you may incur.
To schedule or ask a question
Call 
Cost Detail
Total starting charges
$13.00
Cash Discount
$0.00
Total Estimated Patient Portion
$13.00

Cost data updated 6/23/2026 8:45 PM