Laserfiche WebLink
INDIAN RIVER COUNTY HEALTH DEPARTMENT <br /> FEE SCHEDULE -- Effective Oct 1 , 2003 <br /> Immunizations (Continued) 0% = A 17% - B 33% - C 50% - D 67% - E 83% m F 100% - G COST <br /> Rabies Vaccine (per injection ) $ 125.00 $ 125 . 00 $ 125 . 00 $ 125 . 00 $ 125.00 $ 125 .00 $ 125.00 $ 125. <br />00 <br /> RIG - Per 2cc Vial $ 150 . 00 $ 150 .00 $ 150 . 00 $ 150 .00 $ 150 . 00 $ 150 .00 $ 150 . 00 $ 150 <br />.00 <br /> Hepatitis A Vaccine (per injection ) $0 . 00 $5. 10 $9. 90 $ 15 . 00 $20 . 10 $24 . 90 $30 . 00 $30 . 00 <br /> Hepatitis B Vaccine (per injection ) $0 .00 $5 . 95 $ 11 . 55 $ 17 . 50 $23 .45 $29.05 $35. 00 $35. 00 <br /> Twinrix -Hep A & B (per injection ) $0 . 00 $8. 50 $ 16 . 50 $25.00 $33. 50 $41 . 50 $50 . 00 $50 . 00 <br /> Per CDC guidelines , vaccine for childhood immunizations are covered under the Vaccine for Children Program and are provided at <br /> no cost <br /> to children age 0- 18. Charges for communicable disease control issues will be waived with authorization . Tetanus availability <br /> may be limited <br /> due to supply. <br /> Travel Immunizations (Sliding Fee Scale does not apply -- Per Injection) <br /> Travel Immunization Consult Visit $25 .00 <br /> Hepatitis B Vaccine $35 . 00 <br /> Hepatitis A Vaccine $30 . 00 <br /> Hepatitis A Vaccine - Children $30 . 00 <br /> Twinrix (Hep A & B ) $50 . 00 <br /> Hep A Immune Globulin* $30 . 00 Per 2 ml dose <br /> Lyme Vaccine $70 . 00 <br /> Meningococcal $65 . 00 <br /> Tetanus $ 15 .00 <br /> Typhoid $45 . 00 <br /> Yellow Fever $ 75 . 00 <br /> *As available <br /> Dental Services (Sliding Fee Scale does not apply) <br /> Oral Examination $ 16 . 00 Pin Retention - Per Tooth $2 . 00 <br /> Emergency Examination $ 15 . 00 Pulp Cap Direct* $ 11 .00 <br /> Periapical First Film $4 .00 Pulp Cap Indirect* $9 . 00 <br /> Periapical Addt'I Film $3 . 00 Therapeutic Pulpotomy* $40 . 00 <br /> Bitewing - Single Film $6 . 00 Space Maintainer - Fixed Unilateral $60 . 00 <br /> Bitewing - Two Films $9.00 Space Maintainer - Fixed Bilateral $ 100 . 00 <br /> Bitewing - Four Films $ 11 . 00 Single Tooth Extraction (Child ) $ 10 . 00 <br /> Prophylaxis $ 14 . 00 Single Tooth Extraction (Adult) $35 .00 <br /> Sedative Filling $ 15. 00 Addt'I Tooth Extraction (Child ) $ 10 . 00 <br /> Dental Services - Continued (Sliding Fee Scale does not apply) <br /> Temporary Filling $36 . 00 Arch Scaling $40 . 00 <br /> Oral Hygiene Instructions $6 . 00 Alueolectomy $ 70 . 00 <br /> 9/9/2003CLFEE2003-04 Page 3 of 7 <br />