Immunization Fee Schedule Page - 19 & 20 Year Old Enrollees


The following list consists of Fee Schedules used by Louisiana Medicaid providers for Immunizations. 

Fee Schedules Description

Immunization Fee Schedule -19 & 20 Year Old Enrollees for Dates of Service on or after August 6, 2008 (PDF Format)

*Current* Fee schedule for Immunizations for enrollees 19 & 20 years of age and as applicable, sex restrictions.