Payment Information

Prairieland Wellness Center does not submit insurance claims for any services. Payment must be made in full at the time of service by cash, check or credit card. Visa, Mastercard, Discover and American Express cards are accepted.

 

Should you wish to seek reimbursement from your insurance provider or medical spending account, you may download a copy of the Pre-Determination Form below. Please note that while some insurance providers will reimburse patients for pellets, most insurance providers, including Medicare, do not consider pellet therapy to be a covered benefit.

 

Price List

  • Initial Consultation Fee - $150
    • This is a one-time ONLY fee charged at the initial visit to review your lab results and your medical history, and to evaluate whether you are a candidate for testosterone pellet therapy. If you are a candidate, we will develop a treatment plan for pellet therapy.
  • Prescription Fee: This fee is charged by the pharmacy prior to each insertion visit:
    • Bioidentical Testosterone Pellet - $15 EACH + $10 shipping
      • Men require an average of 10-16 pellets per insertion
  • Pellet Insertion Fees: These fees are charged at EACH pellet insertion visit
    • Procedure Fee - $225
    • Pellet Insertion Kit - $60

 

Pre-Determination Request Form

If you wish to submit a claim for reimbursement with your insurance company or health savings/flex spending program, please print the attached letter of medical necessity and pre-determination request form. Note: ALL insurance pre-authorizations and claims must be filed by the patient.
Insurance Letter - Pellets.pdf
Adobe Acrobat document [93.7 KB]

Schedule an Appointment

217-839-4761

Office Hours

Monday - Thursday

8:00am-4:30pm

AND by appointment

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