| Administration Fee, First |
$35.00 |
| Administration Fee, each add'l |
$18.00 |
| Pneumococcal Polysaccharide Vaccine 23-Valent, AD |
$56.00 |
| Hepatitis A Vaccine (Adult) |
$67.00 each |
| Hepatitis B Vaccine (Adult) |
$79.00 each |
| Japanese Encephalitis Vaccine - age 17 & under |
$135.00 each |
| Japanese Encephalitis Vaccine - age 18 & over |
$278.00 each |
| Tetanus/Diptheria Vaccine |
$27.00 |
| Immune Globulin for intramuscular use |
$13.00 |
| Immune Globulin (Hepatitis
B) |
$154.00 |
| Hepatitis A Vaccine Adolescent/Ped |
$40.00 each |
| Hepatitis B Adolescent/Ped - 2 doses |
$32.00 each |
| Hepatitis B Vaccine (Immuno Compromised) - 4 doses |
$158.00 each |
| Hepatitis B Vaccine Adolescent/Ped - 3 doses |
$32.00 each |
| Varicella Virus Vaccine Live, Subq Use |
$108.00 |
| Tetanus Diptheria Toxoids and Acellular Pertussis |
$45.00 |
| Menningococcal Conjugate Vaccine |
$136.00 |
