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Immunizations & Injections

Type
Code
Description
Price
Immunization
90632
Hepatitis A, Age 19+
$68
Immunization
90633
Hepatitis A, Age 1-18
$39
Immunization
90648
Hib
$13
Immunization
90651
HPV (Gardasil 9), Age 9-26
$204
Immunization
90670
Prevnar13, Age 6 weeks-17 years, 50+
$185
Immunization
90680
Rotavirus (Rota Teq), 1st: 6-14 weeks
$99
Immunization
90682
Flublok Influenza virus vaccine, quadrivalent .5mL
$46
Immunization
90686
Influenza No Preservative Pediatric Dose (Quadrivalent)
$17
Immunization
90673
Influenza No Preservative Pediatric Dose (Quadrivalent), Age 3+
$36
Immunization
90700
DTaP, pedi (0-6)
$28
Immunization
90710
MMR
$203
Immunization
90713
IPV
$32
Immunization
90715
TDaP (Adacel), Age 7+
$40
Immunization
90716
Varicella (Varivax), Age 1+
$159
Immunization
90732
Pneumo (Pneumovax), Age 65+
$118
Immunization
90620
Meningococcal
$200
Immunization
90744
Hepatitis B, Age 0-19
$23
Immunization
90746
Hepatitis B, Age 20+
$57
Immunization
90750
Zoster (Zostravax)
$169
Immunization
86580
PPD (Skin test; tuberculosis, intradermal)
$7
T-Shot
99211
Nurse Visit
$25
T-Shot
J1071
Injection, testosterone cypionate, 1mg
$1
T-Shot
96372
Injections, Medicine (NOT Immunization)
$22
B-12 Shot
99211
Nurse visit
$25
B-12 Shot
J3420
Vitamin B-12, 1000 mcg
$4
B-12 Shot
96372
Injections, Medicine (NOT Immunization)
$22
Allergy Shots
99211
Nurse Visit
$25
Allergy Shots
J1200
Injection, diphenhydramine HCl, up to 50 mg/ml
$1
Allergy Shots
J2550
Injection, promethazine HCl, up to 50 mg/ml
$1
Allergy Shots
96372
Injections, Medicine (NOT Immunization)
$22
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