Not too sure! I took my 12 Cat in to be seen because he started throwing up and Pooping. The Dr. put him on medication right away and did blood work. For $598 the gave me three types of Medicine. They did not give me enough so had to go back for more, That was free since it was there fault. My Cat did get better while waiting for Blood work to come back. The Dr. said it is Feline Leukemia and need to finish medicine. No appointment made for a follow up. My Cat was doing better. Then I get a call that he has CCL and needs Chemo and another prescription. I pursue that for $60. Dr. does not mention anything about taking him off of other need, so I just figure he is diagnosed and does not need the other. I am kinda frustrated and call the Dr. for Apointment to call me. Talk to Dr. and I was not suppose to take him off the other Medicines. I pick up his Chemo and other medicine and make appointment and told $145.00 for Blood work when he come back in two weeks. Ok that is not too bad. Go to his next Appointment and do not see Dr. but Tech and if I want to see Dr. it is extra $$$$ Tech comes in for me to review what is going to be done and another $85 is attached for Blood work that the other blood work will not include. I am wondering why give me a estimate if you are not going to stick to that.