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Cost Estimator

Select a service.

You may need to get a specific service code from your provider.
 
Code
Description
90375
Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use
90460
Immunization counseling and administration, through 18 yrs; first or only component
90461
Immunization counseling and administration, through 18 yrs; each additional vaccine component
90471
Immunization administration; first vaccine
90472
Immunization administration; each additional vaccine
90473
Immunization administration by intranasal or oral route; first vaccine
90474
Immunization administration by intranasal or oral route; each additional vaccine
90620
Meningococcal vaccine, Serogroup B, 2 dose schedule, for IM use
90633
Havrix Hepatitis A vaccine, 2 dose schedule, for intramuscular use
90636
Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use
90648
Hib PRP-T Conjugate 4 dose schedule IM.
90648
VFC Hib PRP-T Conjugate 4 dose schedule IM.
90649
HPV vaccine, quadrivalent, over 18
90651
Vaccine- Gardasil 9
90655
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for
90656
Influenza virus vaccine, trivalent, split virus, over 18
90660
Influenza Virus Vaccine Trivalent Live (LAIV3) Intranasal
90661
Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative
90662
Influenza virus vaccine, split virus, preservative free, for intramuscular use
90670
Pneumococcal 13-valent conjugate vaccine
90672
Influenza virus vaccine, quadrivalent, live, for intranasal use
90675
Rabies vaccine, for intramuscular use
90680
Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use
90681
Rotavirus, monovalent RV1
90685
Influenza virus vaccine, quadrivalent, split virus, pre free, 6-35 mo, for intramuscular use
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