Immunization Price Sheet

CPTCPT DescriptionNon-RegisteredRegistered
    
90471Administration of first vaccine$                         45.00$15.00
90472Administration of each additional vaccine$                         30.00$10.00
90480Administration of Covid vaccine$                         45.00$15.00
    
91320Imm-Covid 19 (Comirnaty$213.00$213.00
90651Imm-Gardasil (HPV)$402.00$402.00
90632Imm-Hepatitis A Vaccine  (Havrix)$115.00$115.00
90746Imm-Hepatitis B Vaccine,  3 dose (Engerix)$98.00$98.00
90636Imm-Hepatitis A and B Combo (Twinrix)$178.00$178.00
90739Imm-Hepatitis B Vaccine,  2 dose (Heplisav)$188.00$188.00
90656Imm-Influenza trivalent (Afluria)$21.00$21.00
90738Imm-Japanese Encephalitis Vacc$443.00$443.00
90619Imm- MenQuadfi$165.00$165.00
90620Imm- Meningococcal B Vaccine (Bexsero)$306.00$306.00
90707Imm-Measles Mumps Rubella (MMR II)$123.00$123.00
90732Imm-Pneumococcal Vaccine (Pneumovax 23)$150.00$150.00
90677Imm-Pneumococcal Vaccine (Prevnar 20)$358.00$358.00
90713Imm-Polio Vaccine (Ipol)$41.00$41.00
90675Imm-Rabies Vaccine IM (Rabavert)$307.00$307.00
90675aImm-Rabies Vaccine IM (Imovax))$350.00$350.00
90750Imm-Shingles (Shingrix)$292.00$292.00
90714Imm-Tetanus and Diptheria Toxoid (Td) (Tenivac)$46.00$46.00
90715Imm-Tetanus Diptheria and Pertussis TDaP (Adacel)$59.00$59.00
86580Imm-Tuberculosis (Tuberso )includes visit and read$42.00$42.00
90691Imm-Typhoid Vaccine (Typhim VI)$160.00$160.00
90716Imm-Varicella Vaccine (Varivax)$261.00$261.00
90717Imm-Yellow Fever Vaccine$271.00$271.00