Immunization Fee Schedule Page - Children/Adolescents

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

Fee Schedules	Description
Immunization Fee Schedule – Children/Adolescents (Birth through 18 years of age) for Dates of Service on or after January 1, 2011 (PDF Format)	*Current* Fee schedule for Immunizations of Children/Adolescents aged birth through 18 years and as applicable, sex and age restrictions.
Immunization Fee Schedule – Children/Adolescents (Birth through 18 years of age) for Dates of Service August 6, 2008 - December 31, 2010 (PDF Format)	Fee schedule for Immunizations of Children/Adolescents aged birth through 18 years and as applicable, sex and age restrictions.
Immunization Fee Schedule – Children/Adolescents (Birth through 18 years of age) for Dates of Service through August 5, 2008 (PDF Format)	Fee schedule for Immunizations of Children/Adolescents aged birth through 18 years and as applicable, sex and age restrictions.