Fee Schedule

Vaccine Fees

CPT Code Vaccine Price
90713 Inactivated Polio $44
90648 Act Hib $30
90670 Prevnar 13 $235
90680 Rotateq $100
90744 Hepatitis B  0-19 0.5cc $44
90698 Pentacel $91
90707 MMR $103
90716 Varivax $163
90633 Hepatitis A 0-18 0.5cc $46
90700 Dtap $40
90696 Quadracel $70
90715 Tdap $57
90619 MenQuadfi $135
90734 Menactra $129
90620 Bexsero Meningococcal B $190
90621 Trumenba Meningococcal B $165
90651 HPV Gardasil 9 $284
90714 Td $53
90632 Hepatitis A  19&up 1cc $84
90746 Hepatitis B 20&up 1cc $66
90739 Heplisav-B    $140
90636 HAV-HBV Twinrix 1cc $118
90750 Shingrix $191
90732 Pneumovax 23 $133
90677 Prevnar 20 $285

*An additional $25 administration fee applies per vaccine.

2021-2022 Influenza Vaccine Fees  

High Dose  $70
Flublok $70
Quadrivalent $32
317  VFC  Influenza $15

Health Services Fees

DeBug Shampoo $14
DeBug Oil $6
Lead Testing $25
Hgb Testing $15
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 will not be charged the $25 administration fee.