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This Fee Schedule is based upon our survey of fees charged by veterinary clinics in the NYC Metro area. Veterinary fees vary, depending upon many factors including, location, staff, equipment, and operating overhead. Feel free to ask the vet clinic about their (UCR) regular fees in order to determine network savings. The schedule shows Member Savings by dollar amount and savings percentage. NVN Plan members pay fee shown in NETWORK FEE column. For services not shown, including more complicated procedures, participating veterinarians will offer savings in the range of 10 to. Please check with the vet about special services or vet care for species other than canine and feline. NVN may edit posted fees, without prior notice, to reflect veterinary fee trends in the NYC Metro area. It is important for NVN members and vets to consult this fee schedule before services are rendered. NVN remains available to communicate with members and vets about plan fees and services at all times. Veterinary Procedures and Fees Regional Fee Network Fee Typical Network Savings Typical % Savings Canine or Feline Exam + Consultation Rabies Vaccination - 1 Yr. Distemper Vaccination - 1 Yr. Canine or Feline Emergency Visit X-rays - 2 Views IV Sedation - Sutures - Antibiotics $142 $95 $47 33% $414 $305 $109 26% Canine or Feline Exam + Consultation $50 - $95 $48 $24 33% Canine Rabies Vaccination One Year Canine Rabies Vaccination Three Year Canine Bordetella Vaccination (readily transmitted kennel cough) $35 $23 $12 34% $45 $33 $12 27% $37 $24 $15 41%

Canine Distemper Vaccination One Year Canine Distemper Vaccination Three Year Canine Lyme Vaccination Canine Lyme Booster Canine DHP Parvo Vaccination (Distemper.Hepatitis.Parvo.Parainfluenza) Canine Distemper Combination DHLPP (Distemper.Hepatits.Leptospirosis Parvo.Parainfluenza) $31 $45 $32 - $48 $39 $47 $39 - $47 $38 $48 $38 - $48 $24 $14 31% $27 $17 32% $31 $12 28% $31 $12 28% $32 $11 26% $32 $11 26% Note on Vaccinations: Puppy and Kitten vaccinations, as shown below, are given in series. Beyond the initial vaccinations shown, some vaccinations are available in a combination dose such as FeLV-FIV, DHP and DHLPP and some vaccinations are given individually. Pet vaccination and medical history and lifestyle will bear upon vaccination recommendations made by your vet. Evidence of up to date vaccination status is generally required for grooming, boarding, hospitalization or other situations where your pet is exposed to other pets. Please consult with your veterinarian about details. Here are some useful links covering diseases transmitted by canines: http://en.wikipedia.org/wiki/bordetella http://en.wikipedia.org/wiki/parvo http://en.wikipedia.org/wiki/canine_distemper http://en.wikipedia.org/wiki/rabies http://en.wikipedia.org/wiki/canine_influenza http://en.wikipedia.org/wiki/leptospirosis Canine - Puppy, Initial Vaccinations, Exams - Typically 3 to 4 vet visits from 6 to 16 weeks to include Exam and consultation, rechecks, fecal test/worming, core vaccines and boosters: Canine Parvovirus, Canine Distemper, Canine Hepatitis (Adenovirus type 1). Each core vaccine should be given every 3 to 4 weeks, with final puppy $485 $325 $160 33%

vaccination at 14 to 16 weeks. Rabies vaccine, included in series, is usually not given until 14 to 16 weeks, for safety of puppy. Feline - Kitten, Initial Vaccinations, Exams, Rechecks - Typically 3 or 4 vet visits from 6 to 16 weeks to include Exam and consultation, rechecks, fecal test/worming, FeLV (Feline Leukemia Virus) test, core vaccines and boosters: Feline Distemper - Feline Rhinotracheitis - Feline Calicivirus - Rabies vaccine, included in series, is usually not given until 14 to 16 weeks, for safety of kitten. $465 $310 $155 33% Canine and Feline fecal exam, including worming medications: Sometimes a repeat negative fecal exam is suggested. Types of worms tested for may include: Roundworms, Hookworms, Whipworms, Tapeworms. Fees shown may vary depending upon type of medications required. $65 - $80 $48 - $54 $21 23% Canine or Feline Fecal Exam Canine Giardia Elisa test (fecal screening for intestinal diseases Giardia and Cryptosporidium) Canine - express anal gland $50 - $65 $50 - $65 $18 - $22 $40 $17 30% $40 $17 30% $12 $8 40% Canine (Snap)Test Heartworm - Lyme $48-$66 $42 $17 29%

Ehrlichiosis - Anaplasmosis http://www.vetstreet.com/care/heartwormdisease-lyme-disease-ehrlichiosisanaplasmosis-snap-testing-in-dogs Canine Heartworm Medication 6 Month Supply- Heartgard Dogs Under 25 lbs. (Note: Prices may vary on Brand Name Medications, please consult with veterinarian) Canine Heartworm Medication 6 Month Supply- Heartgard Dogs 25-50 lbs. (Note: Prices may vary on Brand Name Medications, please consult with veterinarian) Canine Heartworm Medication 6 Month Supply- Heartgard Dogs 51+ lbs. (Note: Prices may vary on Brand Name Medications, please consult with veterinarian) $42 $32 $10 24% $48 $40 $8 17% $56 $48 $8 14% Canine and Feline Flea and Tick Medications per Treatment Canine and Feline Ear Mite Medications per Treatment Feline Vaccinations (Below is a useful link) http://en.wikipedia.org/wiki/feline_vaccination $15 - $18 $15 - $18 $12 $4.50 28% $12 $4.50 28% Feline Rabies One Year $35 $23 $11 37% Feline Rabies Three Year $45 $31 $14 31% Feline Distemper One Year Includes Panleukopenia, Rhinotracheitis, calicivirus $39 $31 $8 21% Feline Distemper Three Year $44 $33 $11 (FeLV FIV) Vaccination Leukemia - Immunodeficiency virus (Consult with your vet about applicability of this vaccination.) Feline Bordetella Vaccination (readily transmitted kennel cough) $28-$38 $24 $9 27% $37 $24 $15 35% FeLV - FIV Test $65 - $75 $51 $19 27%

Anesthesia and Sedation (will depend upon weight of animal) http://www.ahc.umn.edu/rar/anesthesia.html Anesthesia IV Drip Anesthesia Inhalation/Intubation Dogs under 25 lbs, and all cats (will depend upon time needed) Anesthesia Inhalation/Intubation Dogs 25+ lbs. (will depend upon time needed) X-Ray - 1 view ------- X-Ray - each addl. view (x-rays may require sedation which is billed separately) $110- $125 ---- $90- $110 $75 ---- $65 $42 ---- $35 36% ---- 35% Hospitalization Per Night requires evidence of current vaccinations (may require IV - billed separately) Boarding - per night (Well Pet, boarding only requires evidence of current vaccinations) $85 $55 $30 35% $50-$70 $40 $20 35% Treatment of Fractures (varies depending upon location and severity, may require sedation, anesthesia and X-ray(s) - billed separately) Ingested Foreign Object (varies depending upon size and location. May require sedation, anesthesia and X-rays - billed separately) Emergency Visit - Consultation (varies, depending upon services required) Medical Waste Disposal $5-$10 $5 $2.50 33% Cyst Removal Tissue Biopsy (lab)

Microchip - Canine or Feline (can be done in conjunction with other surgical procedure, see spay and neuter below) $65 - $85 $55 $20 22% Spay & Neuter Spay and Neuter procedures will include anesthesia and all medications. Cost of these procedures will depend upon weight of animal. Hospitalization fees may apply following Spay surgery. Please ask your vet. To include microchip, please add $48. Canine Spay under 25 lbs. $325 $255 $70 22% Canine Spay 25+ lbs. $450 $345 $105 23% Canine Neuter under 25 lbs. $235 $170 $65 28% Canine Neuter 25+ lbs. $265 $175 $90 34% Feline Spay - All cats $325 $245 $80 Feline Neuter - All cats $175 $135 $40 23% Canine and Feline Dental Care Veterinary Dental care for Cats and Dogs is often delayed or avoided by pet owners because of concerns about cost. Some veterinary clinics note increased demand for Dental services if reduced fees are offered during special Dental Months. NVN vets offer reduced dental fees 12 months of the year. Pet dental care, done properly, includes three steps: Blood screening, Choice of anesthesia, and the actual gum and tooth care procedures. We have included several useful links below. Depending upon services to be provided, pet dental care may require preanestheic blood-testing to screen for underlying conditions, genetic issues, or other health factors that may bear upon administration of anesthesia or the type of anesthesia used. Preanesthetic blood work may include a 6 panel chemistry + CBC or a more detailed 12 panel chemistry that is recommended for older pets and more complicated procedures. There are two basic types of anesthesia used for Pet Dental Care, IV anesthesia, and the more complex and expensive Inhalation anesthesia. Your vet will discuss the variables. http://centerveterinaryclinic.com/pet-care/general-surgery/pre-anesthetic-blood-testing.html http://www.vetstreet.com/care/anesthesia-in-dogs-canine-anesthesia http://www.catsonlyvethosp.com/dental.html http://thepreventivevet.tumblr.com/post/17316442095/pet-dental-health-month http://www.2ndchance.info/anesthesia.htm http://elizabethanimalhospital.com/dentistry.html http://www.veterinarydentalcenter.com/anesthesia.htm Veterinary Dental fees posted below reflect weight differences in canines, and choice of blood screening and anesthesia in all animals. Please consult with your veterinarian about details. Canine Dental Care $390 - $330 $155 32%

Includes charting, cleaning, blood testing, sedation, IV anesthesia, all medications, including pain medication and antibiotics, if needed. Small Dogs to 25lbs. Canine Dental Care Includes charting, cleaning, blood testing, sedation, IV anesthesia, all medications, including pain medication and antibiotics, if needed. Dogs over 25lbs. Expanded Canine Dental Care ncludes charting, cleaning, expanded blood testing, sedation, inhalation/intubation anesthesia, all medications, including pain medication and antibiotics, if needed. Small Dogs to 25 lbs. Expanded Canine Dental Care Includes charting, cleaning, expanded blood testing, sedation, inhalation/intubation anesthesia, all medications, including pain medication and antibiotics, if needed. Dogs over 25 lbs. Feline Dental Care Includes charting, cleaning, blood testing, sedation, IV anesthesia, all medications, including pain medication and antibiotics, if needed. Feline Dental Care Includes charting, cleaning, expanded blood testing, sedation, inhalation/intubation anesthesia, all medications, including pain medication and antibiotics, if needed. Canine and Feline Tooth Extractions Extractions may range from relatively simple soft tissue extractions to more complicated impactions. Antibiotics, if required will be included. Canine and Feline Tooth Extractions If extractions are done in conjunction with tooth cleaning, additional fees for anesthesia and blood work will most likely not be charged. If extractions are done as separate procedures, there may be additional fees for blood work, oral xrays and anesthesia. Please consult with your veterinarian about details. Tooth Extraction Simple, Soft Tissue Extraction $580 $480 - $620 $540 - $780 $580 - $840 $375 - $575 $500 - $660 $25 - $45 $420 $130 22% $490 $170 26% $530 $180 $320 $155 33% $450 $130 22% $20 $15 43%

Tooth Extraction More Complicated Impacted Tooth may be bony impaction $60 - $120 $45 - $85 $25 28%