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And the high cost of some immunizations is leading to significant monetary strain for some doctors.

This information will change how physicians negotiate the December problem of the journal Pediatrics The studies appear. The scholarly studies discovered that the price-per-dose of one make of hepatitis B vaccine, for example, ranged from $4.26 to $13.06 at different medical practices. Reimbursements of the MMR vaccine ranged from $16.77 to $59.02. Many physicians in the survey expressed dissatisfaction with the reimbursement and price levels of vaccines. The good news for physicians is they can join purchasing cooperatives in which they band collectively to get a better rate as an organization than they would as individuals, Freed says.