*Price per dose
CPT Code | Immunization | Brand | Cost |
---|---|---|---|
90632 | Hepatitis A* | (Havrix®) | $96.80 |
90746 | Hepatitis B* | (Energix-B®) | $95.51 |
90739 | Hepatitis B* | (Heplisav-B®) | $179.27 |
90636 | Hepatitis A/B Combination* | (Twinrix®) | $129.70 |
90648 | Hib | $29.37 | |
90651 | HPV* | (Gardasil®) | $402.03 |
90658 | Influenza | $45.00 | |
90662 | Influenza (HD) | $57.00 | |
90738 | Japanese Encephalitis* | (Ixiaro®) | $323.55 |
86580 | Mantoux TB (tuberculin skin test) | $18.00 | |
90620 | Meningococcal B* | (Bexsero®) | $236.89 |
90619 | Meningococcal | (Menquadfi®) | $211.17 |
90707 | MMR* | $144.61 | |
90677 | Pneumococcal 20-valent Conjugate | (Prevnar 20®) | $372.37 |
90732 | Pneumococcal Polysaccharide | (Pneumovax 23®) | $149.28 |
90713 | Polio | $75.80 | |
90675 | Rabies* | (RabAvert®) | $417.89 |
90678 | Respiratory Syncytial Virus (RSV) | (AbrysvoTM) | $442.50 |
90750 | Shingles* | (Shingrix) | $275.11 |
90715 | Tdap | $70.78 | |
90714 | Tetanus/Diphtheria | $72.65 | |
90691 | Typhoid Injectable | (Typhim Vi®) | $137.46 |
90690 | Typhoid Oral | (Vivotif) | $120.49 |
90716 | Varicella* | $203.03 | |
90717 | Yellow Fever | (YF-Vax) | $202.08 |