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Commissioner Approved Fee Schedule - FY 2018-19 <br />* Any fee changes will be included in this column; <br />a blank beside each fee means there is no fee change in FY 2018-19 Commissioner Approved Fee Schedule <br />Department/Program Description Current Fee <br />Commissioner Approved <br />Fee Change for <br />FY 2018-19* <br />Last <br />Revision <br />90474 Immunization Adm. - Intranasal/Oral Additional $13.71 2014 <br />90620 Meningococcal Group B (Bexsero)$177.00 2015 <br />90621 Meningococcal Group B (Trumenba)$248.00 2015 <br />90632 Hep A - Adult $45.00 2012 <br />90633 Hep A (Ped/Adol)$25.00 2010 <br />90636 Twinrix $102.00 2015 <br />90647 PedVaxHIS Self Pay $40.00 2012 <br />90648 HIB Vaccine $26.00 2012 <br />90649 Gardasil $162.00 2015 <br />90651 HPV 9 (Gardasil 9)$180.00 2015 <br />90654 Intradermal flu vaccine $20.00 2012 <br />90655 Preservative free influenza vaccine 6-35 mo $17 2015 <br />90656 Preservative free influenza vaccine $18.00 2012 <br />90657 Influenza Split 6-35 mo.$14.00 2009 <br />90658 Influenza Split 3yr and Above $15.00 2012 <br />90660 Influenza Virus Vaccine Live for Intranasal $23.00 2012 <br />90662 Influenza - high dose (65+)$40.00 2012 <br />90669 Prevnar (PCV7 -Pneumococcal Vaccine $116.00 2009 <br />90670 Prevnar (PCV13) -Pneumococcal Vaccine $167.00 2015 <br />60