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PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective …

live (laiv3), for intranasal 2 49: 10/01/2013 12/31/9999: 1 0.00: 90661 fee on file: influenza virus vaccine, trivalent (cciiv3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 ml dosage for intramuscular use 0 999: 08/01/2016 12/31/9999: 1 22.29: 90662 fee on file: influenza virus vaccine (iiv), split virus ...

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  Live, Intranasal

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