Costs listed are per dose.
CPT Code | Immunization | Brand | Cost |
---|---|---|---|
90589 | Chikungunya | (IXCHIQ®) | $412.50 |
91320 | COVID-19 | (Comirnaty Monovalent) | $195.00 |
90632 | Hepatitis A | (Havrix®) | $108.89 |
90746 | Hepatitis B | (Energix-B®) | $103.30 |
90739 | Hepatitis B | (Heplisav-B®) | $198.58 |
90636 | Hepatitis A/B Combination | (Twinrix®) | $134.89 |
90648 | Hib | $19.75 | |
90651 | HPV | (Gardasil®) | $430.18 |
90658 | Influenza | $45.00 | |
90662 | Influenza (HD) | $71.00 | |
90738 | Japanese Encephalitis | (Ixiaro®) | $323.55 |
86580 | Mantoux TB (tuberculin skin test) | $18.00 | |
90620 | Meningococcal B | (Bexsero®) | $265.92 |
90619 | Meningococcal ACWY | (Menquadfi®, Menveo) | $211.17 |
90707 | MMR | $158.02 | |
90611 | MPOX (formerly known as monkeypox) | (JYNNEOS®) | $405.00 |
90677 | Pneumococcal 20-valent Conjugate | (Prevnar 20®) | $410.78 |
90732 | Pneumococcal Polysaccharide | (Pneumovax 23®) | $149.28 |
90713 | Polio | $83.57 | |
90675 | Rabies | (RabAvert®) | $417.89 |
90678 | Respiratory Syncytial Virus (RSV) | (AbrysvoTM) | $442.50 |
90750 | Shingles | (Shingrix) | $323.26 |
90715 | Tdap | $75.09 | |
90714 | Tetanus/Diphtheria | $73.73 | |
90627 | Tick Borne Encephalitis | (TicoVacTM) | $425.46 |
90691 | Typhoid Injectable | (Typhim Vi®) | $164.89 |
90690 | Typhoid Oral | (Vivotif) | $120.49 |
90716 | Varicella | $232.37 | |
90717 | Yellow Fever | (YF-Vax) | $249.43 |