| | | | |
|---|
| 90471 | Administration of first vaccine | $ 45.00 | $15.00 |
|---|
| 90472 | Administration of each additional vaccine | $ 30.00 | $10.00 |
|---|
| 90480 | Administration of Covid vaccine | $ 45.00 | $15.00 |
|---|
| | | | |
|---|
| 91320 | Imm-Covid 19 (Comirnaty) | $219.00 | $219.00 |
|---|
| 90651 | Imm-Gardasil (HPV) | $414.00 | $414.00 |
|---|
| 90632 | Imm-Hepatitis A Vaccine (Havrix) | $120.00 | $120.00 |
|---|
| 90746 | Imm-Hepatitis B Vaccine, 3 dose (Engerix) | $101.00 | $101.00 |
|---|
| 90636 | Imm-Hepatitis A and B Combo (Twinrix) | $190.00 | $190.00 |
|---|
| 90739 | Imm-Hepatitis B Vaccine, 2 dose (Heplisav) | $198.00 | $198.00 |
|---|
| 90656 | Imm-Influenza trivalent (Afluria) | $21.00 | $21.00 |
|---|
| 90738 | Imm-Japanese Encephalitis Vacc | $449.00 | $449.00 |
|---|
| 90619 | Imm- MenQuadfi | $169.00 | $169.00 |
|---|
| 90620 | Imm- Meningococcal B Vaccine (Bexsero) | $342.00 | $342.00 |
|---|
| 90707 | Imm-Measles Mumps Rubella (MMR II) | $133.00 | $133.00 |
|---|
| 90732 | Imm-Pneumococcal Vaccine (Pneumovax 23) | $143.00 | $143.00 |
|---|
| 90677 | Imm-Pneumococcal Vaccine (Prevnar 20) | $385.00 | $385.00 |
|---|
| 90713 | Imm-Polio Vaccine (Ipol) | $45.00 | $45.00 |
|---|
| 90675 | Imm-Rabies Vaccine IM (Rabavert) | $402.00 | $402.00 |
|---|
| 90675a | Imm-Rabies Vaccine IM (Imovax)) | $513.00 | $513.00 |
|---|
| 90750 | Imm-Shingles (Shingrix) | $328.00 | $328.00 |
|---|
| 90714 | Imm-Tetanus and Diptheria Toxoid (Td) (Tenivac) | $45.00 | $45.00 |
|---|
| 90715 | Imm-Tetanus Diptheria and Pertussis TDaP (Adacel) | $56.00 | $56.00 |
|---|
| 86580 | Imm-Tuberculosis (Tuberso )includes visit and read | $45.00 | $45.00 |
|---|
| 90691 | Imm-Typhoid Vaccine (Typhim VI) | $169.00 | $169.00 |
|---|
| 90716 | Imm-Varicella Vaccine (Varivax) | $285.00 | $285.00 |
|---|
| 90717 | Imm-Yellow Fever Vaccine | $296.00 | $296.00 |
|---|
