| CPT codes |
Brand Name | Vaccine Type | Vaccine Fee |
| 90648 | ActHIB | Haemophilus Influenzae Type B (HIB) | $30 |
| 90715 | Adacel | Tdap | $58 |
| 90620 | Bexero | Meningococcal B | $249 |
| 90700 | Daptacel | DTaP | $40 |
| 90744 | Engerix-B | Hepatitis B 10mcg (age 0-19y) | $34 |
| 90746 | Engerix-B | Hepatitis B 20mcg (age 20y+) | $82 |
| 90682 | Flublok | Quadrivalent Influenza | $74 |
| 90686 | Fluzone | Quadrivalent Influenza | $24 |
| 90662 | FluzoneHD | High-Dose Quadrivalent Influenza | $74 |
| 90651 | Gardasil-9 | Human papillomavirus (HPV) | $324 |
| 90739 | Heplisav-B | Hepatitis B | $162 |
| 90713 | IPOL | Poliovirus, inactivated (IPV) | $50 |
| 90734 | Menactra | Meningococcal ACWY | $171 |
| 90619 | MenQuadfi | Meningococcal ACWY | $189 |
| 90707 | MMR II | Measles, Mumps & Rubella | $109 |
| 90698 | Pentacel | DTaP-IPV-HIB | $160 |
| 90732 | Pneumovax-23 | Pneumococcal polyvalent | $159 |
| 90670 | Prevnar13 | Pneumococcal conjugate | $277 |
| 90677 | Prevnar20 | Pneumococcal conjugate | $305 |
| 90696 | Quadracel | DTaP, Polio | $72 |
| 90680 | RotaTeq | Rotavirus | $113 |
| 90750 | Shingrix | Zoster recombinant | $222 |
| 90714 | Tenivac | Td | $43 |
| 90621 | Trumenba | Meningococcal B | $217 |
| 90636 | Twinrix | HAV-HBV | $147 |
| 90633 | Vaqta | Hepatitis A 25u (age 0-18y) | $43 |
| 90632 | Vaqta | Hepatitis A 50u (age 19y+) | $95 |
| 90716 | Varivax | Varicella | $193 |
| ADMINISTRATION FEE per VACCINE | $30 | ||
| DeBug Shampoo | $15 |
| DeBug Oil | $10 |
| Lead Testing | $25 |
| Hgb Testing | $20 |
| TB Skin Test | $20 |
*All vaccine cost are subject to change depending on pharmaceutical prices. VFC or 317 fund vaccines are no cost for vaccines, but there will be a $20 Administration Fee per vaccine. Clients given vaccine paid by VFC or 317 funds will not be denied due to of inability to pay. All clients paying in full at the time of service for purchased vaccine are eligible for 20% discount of the total bill.
