Skip to main content
Login
Cost Estimator
Fallon Medical
|
Cash Pricing
|
Medication
|
Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
90649
CLIN GARDASIL VACCINE .5ML
90656
CLIN INFLUENZA 0.5ML SYR > 3 YRS
90656
FLU VACCINE(FLUZONE) 0.5ML INJ =>6MO
90662
CLIN INFLUENZA HD SYR=>65 YR
90662
FLU VACCINE HD (FLUZONE) SYR=> 65 YR
90670
CLIN PNEUMOCOCCAL 13-VAL
90670
PREVNAR 13 INJ
90675
CLIN RABIES VIRUS VACCINE 2.5UNITS/ML
90675
IMOVAX RABIES (RabAVERT) 2.5IU/1ML
90687
CLIN INFLUENZA 0.5ML > 6 MONTHS
90714
CLIN TENIVAC age 7 & older 0.5 mL
90715
CLIN ADACEL TDAP 0.5 mcg
90715
TET/DIPH/PERT SYR (TDAP) ADOLE/ADULT
90718
TET/DIPH TOX (TD/TENIVAC) SYR PEDS/ADULT
90732
CLIN PNEUMOCOCCAL INJ 0.5 ML
90732
PNEUMOCOCCAL (PNEUMOVAX) INJ 0.5 ML
90736
CLIN ZOSTER VACCINE 0.65ML
90746
HEPATITIS B (ENGERIX-B) SYR 20MCG/ML
A4216
DEXTROSE 50% (D50) SYR 50ML
J0133
ACYCLOVIR (ZOVIRAX) INJ 500MG
J0153
ADENOSINE (ADENOCARD) VIAL 6MG/2ML
J0171
EPINEPHrine (ADRENALIN) INJ 1MG/1ML
J0171
EPINEPHrine (ADRENALIN) IVP 1MG/10ML
J0248
REMDESIVIR (VEKLURY) INJ 100MG/ML
J0282
AMIODARONE HCL (CORDARONE) 150MG/3ML
Page 1 of 10