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INDIAN RIVER COUNTY HEALTH DEPARTMENT <br /> FEE SCHEDULE --Effective Oct 1, 2005 <br /> Immunizations 0%-A 17%-B 33%-C 50%-,D 67% -E 83%- F 100%-G COST . <br /> Influenza $0.00 $4.76 $9.24 $14.00 $18.76 $23.24 $28.00 $28.00 <br /> Pneumococcal Pneumonia $0.00 $5.95 $11.55 $17.50 $23:45 $29.05 $35.00 $35.00 <br /> Measles/Mumps/Rubella $0.00 $9.35 $18.15 $27.50 $36.85 $45.65 $55.00 $55.00 <br /> Tetanus $0.00 $4.25 $8.25 $12.50 $16.75 $20.75 $25.00 $25.00 <br /> Injected Polio Vaccine $0.00 $5.95 $11.55 $17.50 $23.45 $29.05 $35.00 $35.00 <br /> Varivax(Chicken Pox) $0.00 $13.60 $26.40 $40.00 $53.60 $66.40 $80.00 $80.00 <br /> Meningococcal $0.00 $16.15 $31.35 $47.50 $63.65 $78.85 $95.00 $95.00 <br /> Rabies Vaccine(per injection) $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $165.00 $165.00 <br /> RIG - Per 2cc Vial $150.00 $150.00 $150.00 $150.00 $150.00 $150.00 $150.00 $150.00 <br /> Hepatitis A Vaccine(per injection) $0.00 $5.95 $11.55 $17.50 $23.45 $29.05 $35.00 $35.00 <br /> Hepatitis B Vaccine(per injection) $0.00 $7.65 $14.85 $22.50 $30.15 $37.35 $45.00 $45.00 <br /> Twinrix-Hep A,&B(per injection) $0.00 $10.20 $19.80 $30.00 $40.20 $49.80 $60.00 $60.00 <br /> Per CDC guidelines, vaccine for childhood immunizations are covered under the Vaccine for Children Program and are provided at no cost <br /> to children age 0-18. Charges for communicable disease control issues will be waived with authorization. <br /> Travel'lmmunizations(Sliding Fee Scale does not apply--Per Injection) <br /> Travel Immunization Consult Visit $32.00 <br /> Hepatitis B Vaccine $45.00 <br /> Hep B Immune Globulin* $550.00 <br /> Hepatitis A Vaccine $35.00 <br /> Hepatitis A Vaccine-Children $35.00 <br /> Twinrix(Hep A&B) $60.00 <br /> Hep A Immune Globulin* $45.00 Per 2 ml dose <br /> Meningococcal $95.00 <br /> Tetanus $25.00 <br /> Typhoid $65.00 <br /> Yellow Fever $95.00 <br /> *As available <br /> 9112/2005CLFEE2005-06 Page 3 of 8 <br />