Rates: Maximum Reimbursement for CHDP (rates max chdp)
Vaccine Code Vaccine Source Age Rate 1 Comment Required Pneumococcal Polysaccharide (23PS) 90 12 VFC 2 years thru 18 years, 11 months $ 9.00 High risk factor 55 Purchased 2 years thru 20 years, 11 months $ 56.69 High risk factor Pneumococcal 13-valent Conjugate (PCV13) 88 VFC 2 months thru 18 years, 11 months $ 9.00 High risk factor if older ... ................
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