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Name of Fee 2015-16 <br />Current Fee 2015-16 Proposed Fee <br />Intranasal administration of live <br />quadrivalent influenza vaccine <br />$0 $26 <br />Influenza vac 4 valent prsrv free 3 yrs <br />plus IM <br />$0 $18 <br />Diphtheria tetanus toxoid adsorbed >7 <br />yr IM <br />$0 $40 <br />Alcohol and/or drug assessment $0 $20 <br />Mental health assessment, by non- <br />physician <br />$0 $22 <br />Injection, medroxyprogesterone <br />acetate, 1 mg <br />$0 $.67 <br />Injection, hydroxyprogesterone <br />caproate, 1 mg <br />$0 $3 <br />Fluvirin Vacc, 3 yrs & >, IM $0 $31 <br />Fluzone Vacc, 3 yrs & >, IM $0 $40 <br />PMH Risk Screening $0 $50 <br />Meningococcal Group B (Bexsero) $0 $177 <br />Meningococcal Group B (Trumenba) $0 $248 <br />Twinrix $0 $102 <br />Gardasil $136 $162 <br />HPV 9 (Gardasil 9) $0 $180 <br />Preservative free influenza vaccine 6- <br />35 mo <br />$16 $17 <br />Pentacel (DTaP/IPV/Hlb) $0 $95 <br />Prevnar (PCV13) – Pneumococcal <br />Vaccine <br />$130 $167 <br />Rabies (IM) $237 $269 <br />Rotarix $0 $124 <br />Adult MMR $56 $66 <br />Td (pres. free) $0 $35 <br />Varicella vaccine $89 $111 <br />Pediarix (DTaP/Hep B/IPV) $0 $91 <br />Immunization: Pneumococcal – State $65 $80 <br />Menactra Meningococcal Vaccine $106.87 $127 <br />Zostavax Vaccine $179 $207 <br />Tobacco Use Cessation Counseling - <br />Intermediate <br />$10.66 <br /> <br />$13 <br /> <br />Tobacco Use Cessation Counseling - <br />Intensive <br />$22.1 <br /> <br />$32 <br /> <br />Skyla IUD $0 $726 <br />MNT $30 $34 <br />DSME – Initial $22 $52 <br />DSME – Group $12 $17 <br /> <br /> <br /> <br />Environmental Health