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INDIAN RIVER COUNTY HEALTH DEPARTMENT <br /> FEE SCHEDULE --Effective Nov.01,2006 <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 $10.20 $19.80 $30.00 $40.20 $49.80 $60.00 $60.00 <br /> Tetanus $0.00 $4.25 $8.25 $12.50 $16.75 $20.75 $25.00 $25.00 <br /> Tdap $0.00 $5.95 $11.55 $17.50 $23.45 $29.05 $35.00 $35.00 <br /> Injected Polio Vaccine $0.00 $6.80 $13.20 $20.00 $26.80 $33.20 $40.00 $40.00 <br /> Varivax(Chicken Pox) $0.00 $15.30 $29.70 $45.00 $60.30 $74.70 $90.00 $90.00 <br /> Meningococcal $0.00 $17.85 $34.65 $52.50 $70.35 $87.15 $105.00 $105.00 <br /> Rabies Vaccine(per injection) $165.00 $165.00 $165.00 $165.00 $165.00 $165.00 $165.00 $165.00 <br /> RIG - Per 2cc Vial $150.00 $150.00 $150.00 $150.00 $150.00 $150.00 $165.00 $165.00 <br /> Hepatitis A Vaccine(per injection) $0.00 $6.80 $13.20 $20.00 $26.80 $33.20 $40.00 $40.00 <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 /> Shingles Vaccine $170.00 $170.00 $170.00 $170.00 $170.00 $170.00 $170.00 $170.00 <br /> Cervical Cancer Vaccine $0.00 $22.95 $44.55 $67.50 $90.45 $112.05 $135.00 $135.00 <br /> Per CDC guidelines,vaccine for childhood immunizations are covered under the Vaccine for Children Program and are provided at no cost to children <br /> age 0-18. Charges for communicable disease control issues will be waived with authorization.Tetanus availability may be limited due to supply. <br /> Travel Immunizations(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 $40.00 <br /> Hepatitis A Vaccine-Children $40.00 <br /> Hep A Immune Globulin* $55.00 Per 2 ml dose <br /> Twinrix(Hep A&B) $60.00 <br /> Meningococcal $105.00 <br /> Tetanus $25.00 <br /> Tdap* $35.00 <br /> Typhoid $65.00 <br /> Yellow Fever $95.00 <br /> *As available <br /> 10/23/2006CLFEE2006-07 Page 3 of 11 <br />