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PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective …

90647 fee on file: haemophilus influenzae b vaccine (hib), prp-omp conjugate, (3 dose schedule), for intramuscular use 0 999: 10/01/2017 12/31/9999: 1 62.66: 90648 fee on file: haemophilus influenzae b vaccine (hib), prp-t conjugate, (4 dose schedule), for intramuscular use 0 999: 07/01/2016 12/31/9999: 1 18.75: 90649 fee on file: human ...

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