| Donor Specimens |
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ICI per vial
(Intracervical or Standard, 10 million TMC) |
IUI per vial
(Intrauterine or Prewashed, 10 million TMC) |
IVF per vial
(5 million TMC) |
| Fairfax Doctorate |
$435.00 |
$540.00 |
$290.00 |
| Fairfax |
$340.00 |
$440.00 |
$225.00 |
| Family Solutions |
$185.00 |
$225.00 |
N/A |
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| ID Consent |
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|
|
| Fairfax Doctorate |
$510.00 |
$615.00 |
$385.00 |
| Fairfax |
$415.00 |
$515.00 |
$320.00 |
| Volume purchases of 8+ units qualify for 2 years free storage |
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| |
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| Patient Information Packet |
FREE |
| Informational and Educational Video/DVD |
FREE |
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|
| Donor Information |
|
| Summary Profile (website only) |
FREE |
| Donor Essay (website only) |
FREE |
| Donor Audio Clip (website only) |
FREE |
| Donor Staff Impressions (website only) |
FREE |
| |
|
| Medical Profile (from website) |
$14.00 |
| Medical Profile (phone order) |
$17.00 |
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|
| Personal Profile (from website) |
$19.00 |
| Personal Profile (phone order) |
$23.00 |
| |
|
| Audio Interview (website or phone order) |
$28.00 |
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|
| Childhood Photo (from website) |
$15.00 |
| Childhood Photo (phone order) |
$18.00 |
| |
|
| Silhouette (from website) |
$20.00 |
| Silhouette (phone order) |
$22.00 |
| |
|
| Lifetime Photo Series -Mail only |
$75.00 |
| Adult/Childhood Photo Set - Mail only |
$45.00 |
| Childhood Photo/Silhouette set (from website) |
$30.00 |
| Childhood Photo/Silhouette set (phone order) |
$34.00 |
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|
| Personality Testing |
|
| Keirsey Donor Report: A Classic Temperament Report on an individual donor |
$19.00 |
| Take the Keirsey Test Yourself: Purchase your own individual report |
$19.00 |
| Keirsey Temperament Map Bundle: Includes 3 donor Classic Temperament Reports, your own Report, your partner's Report, and all individuals displayed on a Temperament Map (This represents a $30 savings, if purchased separately, and mapping is included) |
$65.00 |
| Keirsey Add-on Map: Includes 3 additional donor Classic Temperament Reports mapped on the original Temperament Map. (See above) Note you must first purchase the Keirsey Temperament Map Bundle in order to purchase the Add-on Map. (This represents a $27 savings, if purchased separately, and mapping is included) |
$30.00 |
| |
|
| Donor Profile Set- summary profile, medical profile, personal profile, audio interview, childhood photo (from website) |
$65.00 |
| Donor Profile Set- summary profile, medical profile, personal profile, audio interview, childhood photo (phone order- includes shipping) |
$75.00 |
| |
|
| Donor Partial Profile Set- summary profile, medical profile, personal profile, audio interview (from website) |
$56.00 |
| Donor Partial Profile Set- summary profile, medical profile, personal profile, audio interview (phone order- includes shipping) |
$62.00 |
| |
|
| Fax Fee for Medical or Personal Profile (each profile) |
$5.00 |
| FedEx Overnight Donor Information (per letter size envelope) |
$30.00 |
| FedEx Saturday Delivery Donor Information (per letter size envelope) |
$45.00 |
| Donor Information Shipping/Handling (per order) |
$8.00 |
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| Donor Selection Services |
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| Photo Matching |
$55.00 |
| Donor Selection Consultation (per half hour) |
$65.00 |
| Genetic Consultation (per half hour) |
$100.00 |
| |
|
| Specimen Shipping & Handling |
|
| FedEx in contiguous U.S.A. (includes return of shipping container) |
|
| 2 Day Economy Delivery- by 5 p.m. the 2nd business day (per container) |
$160.00 |
| Overnight Delivery- by 12 noon the next business day |
$205.00 |
| FedEx Rush Order- additional charge for orders placed 2p.m - 3p.m. for same day shipment |
$80.00 |
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| FedEx Alaska & Hawaii (includes return of shipping container) |
|
| 2-4 Day Delivery (varies by zip code) |
$175.00 |
| 1-2 Day Delivery (varies by zip code) |
$225.00 |
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|
| FedEx Outside U.S.A.- please contact Fairfax Cryobank for current service and fees |
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| Local Courier Service (Washington D.C. Metro Area- includes return of shipping container) |
|
| Fairfax & Arlington County (per container) |
$85.00 |
| Washington D.C. and Montgomery County (per container) |
$105.00 |
| Prince Georges & Loudoun County (per container) |
$135.00 |
| Courier Rush Order- additional charge for orders placed 11a.m.-12p.m. for same day shipment |
$80.00 |
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| Courier for other Virginia & Maryland areas-please contact Fairfax Cryobank for current service and fees |
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| Patient Pick Up (patient must return container within 10 days) |
|
| Local Patient Pick-Up and Return (requires 3 hour notice) |
FREE |
| Rush Order- additional charge for orders placed within 3 hours of pick up |
$80.00 |
| |
|
| Other Shipping Services |
|
| Restocking Fee- failure to pick up or cancellation of order (per order) |
$50.00 |
| Upgrade to 14 Day Tank (per container) |
$45.00 |
| FedEx Priority Return of Tank (additional) |
$50.00 |
| FedEx Saturday Return of Tank (additional) |
$65.00 |
| FedEx Saturday Delivery of Tank (additional) |
$35.00 |
| Late Tank Fee per day- Domestic (after 14 days) |
$20.00 |
| Late Tank Fee per month- International (after 30 days) |
$90.00 |
| Lost or Un-returned Tank |
$900.00 |
| International Shipment Tank Deposit- refunded when tank is returned |
$900.00 |
| Residential Delivery (additionally per container) |
$20.00 |
| Same Day Physician account Set Up |
$75.00 |
| Next Day Physician account Set Up |
FREE |
| Same Day Home Consent |
$75.00 |
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| Other Handling Charges |
|
| Vial Swap |
$150.00 |
| Transfer Vial Ownership |
$250.00 |
| |
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| Semen Cryopreservation Services |
|
| Semen Analysis Only |
$120.00 |
| Semen Specimen Analysis & Freeze |
$290.00 |
| Semen Specimen Release (Handling) |
$45.00 |
| Initial Visit Consultation |
$150.00 |
| |
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| Storage Services |
|
| Volume Purchase of 8+ Units per Order |
2 Years Free |
| Semen Specimens / Patient- monthly automatic only |
$36.00 |
| Semen Specimens / Patient- Pre-paid 1 Year |
$350.00 |
| Semen Specimens / Patient- Pre-paid 2 Years |
$594.00 |
| Semen Specimens / Patient- Pre-paid 5 Years |
$1188.00 |
| Semen Specimen Release (Handling) |
$45.00 |
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