What is the cost of an allergy shot

Travel Clinic services are available to Stanford students, faculty, staff, spouses, partners, and alumni.

Charges for every clients

Travel consultation fee (students)

$48

Travel consultation fee (non-students)

$85

No show fee

$25

Immunizations for travel are charged separately.


Immunizations for students with Cardinal Care

As a result of legislation under the Affordable Care Act, some routine, preventive immunizations are now covered by insurance plans at no cost share to members.

For students with Cardinal Care, the following immunizations are offered through Vaden Health Middle at no charge to the student.

Covered Preventive Immunizations

Hepatitis A

Hepatitis B

Human papillomavirus (HPV 4) up to age 45

Seasonal Influenza

Measles, Mumps, Rubella

Meningococcal

Pneumococcal (for patients with asthma, smokers, or age >65)

Tetanus, Diptheria, Pertussis (Tdap)

Tetanus, Diptheria (Td)

Varicella

Inactivated Poliovirus (if age 17 or younger)

Non Covered Immunizations (see pricing below)

Japanese Encephalitis

Inactivated Poliovirus (if over age 17)

Rabies

Typhim (injectible typhoid vaccine)

Oral typhoid

Yellow Fever (not currently available at Vaden)


When allergy shots are successful, the immune system is restored to excellent health.

The patient will rely on fewer or even no medications.

What is the cost of an allergy shot

He or she will miss less work or school days. The burden of allergies is relieved, and the patient can live his or her life without having to worry about exposure and reactions. Most children and adults are eligible candidates for allergy shot therapy and women who become pregnant during the course of treatment can continue through their pregnancy.

After informed consent, subjects will be randomly assigned to ILIT group or placebo group in double-blind manner. In both group, causal allergen or placebo will be injected into inguinal lymph node through guidance by ultrasonography three times with 4-week interval.

In ILIT group, initial dose of allergen will be 1,000-fold diluted solution from maximal concentration of allergen extract for subcutaneous immunotherapy (Tyrosine S, Allergy Therapeutic, West Sussex, UK) in volume of 0.1ml. If skin is highly reactive in skin prick test, the initial dose will be 10-fold dilution from maximal concentration where diameter of wheal is less than that of histamine. After the first dose, allergen concentration will be escalated 3-fold at second dose, and 10-fold at third dose if there are no (or mild) local or systemic hypersensitivity reaction.

The allergen concentration will not change at second or third dose if there is moderate local or systemic reaction. The allergen concentration will decrease by 10 or 100-fold from previous concentration or further injection will be held if there is severe local or systemic reaction after sufficient explanation and discussion with subjects.

The investigators will assess allergic rhinitis symptom score before and 4, 12 months after the initial treatment. Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and Sino-Nasal Outcome Test (SNOT-20) will be used.

Visual analogue scale (VAS) of symptoms including rhinorrhea, sneezing, nasal obstruction, postnasal drip, eye/nose/ear/palate itching, dyspnea, wheezing, chest discomfort as well as urticaria, angioedema, and itching on exposed skin during exposure to causal allergen in daily life will be also evaluated.

What is the cost of an allergy shot

Skin prick test (SPT), intradermal test (IDT), blood sampling for serum entire immunoglobulin E (IgE), allergen-specific IgE, and allergen-specific immunoglobulin G4 (IgG4), nasal lavage for Th1, Th2, and Treg cytokines, and nasal provocation test (NPT) with Df and/or Dp allergen (in subjects whose AR symptoms are provoked by Df and/or Dp) will be also performed before and 4, 12 months after the initial treatment. In addition, the investigators evaluated the change of subjects’ recognition of causal allergens, their avoidance, and AIT during this study.

Using VAS, subjects were requested to score the rate of agreement with "Allergen provokes allergic symptoms in daily life", "Allergen avoidance can reduce allergic symptoms", "Allergen-specific Immunotherapy (AIT) can reduce allergic symptoms", "I can pay 50,000 Korean Won (KRW)/month for allergen avoidance", "I can pay 100,000 KRW/month for allergen avoidance", "I can pay 200,000 KRW/month for allergen avoidance", "I can pay 150,000 KRW for each injection of ILIT", "I can pay 300,000 KRW for each injection of ILIT", "I can pay 600,000 KRW for each injection of ILIT" before and after SPT/IDT, after NPT, 4 months and 1 year after ILIT.

Adverse events will be recorded and graded according to Muller classification and Ring and Meissner classification.

When allergy shots are successful, the immune system is restored to excellent health.

The patient will rely on fewer or even no medications. He or she will miss less work or school days. The burden of allergies is relieved, and the patient can live his or her life without having to worry about exposure and reactions. Most children and adults are eligible candidates for allergy shot therapy and women who become pregnant during the course of treatment can continue through their pregnancy.

After informed consent, subjects will be randomly assigned to ILIT group or placebo group in double-blind manner. In both group, causal allergen or placebo will be injected into inguinal lymph node through guidance by ultrasonography three times with 4-week interval.

In ILIT group, initial dose of allergen will be 1,000-fold diluted solution from maximal concentration of allergen extract for subcutaneous immunotherapy (Tyrosine S, Allergy Therapeutic, West Sussex, UK) in volume of 0.1ml. If skin is highly reactive in skin prick test, the initial dose will be 10-fold dilution from maximal concentration where diameter of wheal is less than that of histamine. After the first dose, allergen concentration will be escalated 3-fold at second dose, and 10-fold at third dose if there are no (or mild) local or systemic hypersensitivity reaction. The allergen concentration will not change at second or third dose if there is moderate local or systemic reaction.

The allergen concentration will decrease by 10 or 100-fold from previous concentration or further injection will be held if there is severe local or systemic reaction after sufficient explanation and discussion with subjects.

The investigators will assess allergic rhinitis symptom score before and 4, 12 months after the initial treatment. Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and Sino-Nasal Outcome Test (SNOT-20) will be used. Visual analogue scale (VAS) of symptoms including rhinorrhea, sneezing, nasal obstruction, postnasal drip, eye/nose/ear/palate itching, dyspnea, wheezing, chest discomfort as well as urticaria, angioedema, and itching on exposed skin during exposure to causal allergen in daily life will be also evaluated.

Skin prick test (SPT), intradermal test (IDT), blood sampling for serum entire immunoglobulin E (IgE), allergen-specific IgE, and allergen-specific immunoglobulin G4 (IgG4), nasal lavage for Th1, Th2, and Treg cytokines, and nasal provocation test (NPT) with Df and/or Dp allergen (in subjects whose AR symptoms are provoked by Df and/or Dp) will be also performed before and 4, 12 months after the initial treatment. In addition, the investigators evaluated the change of subjects’ recognition of causal allergens, their avoidance, and AIT during this study. Using VAS, subjects were requested to score the rate of agreement with "Allergen provokes allergic symptoms in daily life", "Allergen avoidance can reduce allergic symptoms", "Allergen-specific Immunotherapy (AIT) can reduce allergic symptoms", "I can pay 50,000 Korean Won (KRW)/month for allergen avoidance", "I can pay 100,000 KRW/month for allergen avoidance", "I can pay 200,000 KRW/month for allergen avoidance", "I can pay 150,000 KRW for each injection of ILIT", "I can pay 300,000 KRW for each injection of ILIT", "I can pay 600,000 KRW for each injection of ILIT" before and after SPT/IDT, after NPT, 4 months and 1 year after ILIT.

Adverse events will be recorded and graded according to Muller classification and Ring and Meissner classification.

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Flu shots are available to Atlanta Allergy & Asthma patients at every 17 locations.

Although the influenza vaccine is recommended for most children and adults, it is especially significant that our patients with asthma and chronic sinusitis get their annually flu shot.

Patients between the ages of 6 months and 65 years should visit their Atlanta Allergy & Asthma office to get the 2019/2020 influenza vaccine.

No appointment is necessary; however, you should be a current patient.

What is the cost of an allergy shot

Protection from the vaccine begins about two weeks after the injection and is thought to final for the influenza season.

*Please note that some insurance plans will not cover the influenza vaccine if received in our office. These plans include Medicaid, Kaiser, BlueChoice, HMO, or POS, and WellStar groups. You may prefer to visit your primary care practice for this year’s flu vaccine. Since there may be other plans that follow this policy, please check coverage of your specific insurance plan. If your insurance does not cover, and you get the vaccine from Atlanta Allergy & Asthma, you will be required to pay the out-of-pocket expense.

Some services offered at Vaden are not covered by the Campus Health Service Fee.

These include travel consultations, some immunizations, physical exams, CAPS long-term therapy, and CAPS medication management.

The following charts list charges that apply for services not covered by the Campus Health Service Fee.

Medical Care

Charges for students who own been assessed the Health Fee

Charges for others (1)

Office Visit—established patient

$0

up to $225 *

Office Visit—new patient

$0

up to $365 *

Physical Exam

up to $225 **

same

Women’s Health Exam with Pap

$0

up to $225 *

Allergy Shot(s)

$10 per visit for allergy injection(s)

same

PPD (to meet SIMS and other program requirements)

$30 ***

same

QuantiFERON (to meet entrance health requirements)

$54

same

Chest X-ray (to meet entrance health requirements)

$90

same

* Office visit charges for students who own not beed assessed the Health Fee are based on complexity of visit.

Lab and professional radiology services are billed separately by the provider.

** Physical exam charges are based on complexity of exam. Laboratory services, if applicable, are not included in the cost, and are billed separately by the provider. Immunizationsand chest X-rays are also billed separately.

*** Students who are 17 or under and enrolled in Cardinal Care will not be charged for a PPD test (legislation under the Affordable Care Act)

(1) Charges for others pertain to students who own not been assessed the Health Fee


How often are allergy shots istered?

There are two phases to allergy shots, build up and maintenance.

During the build up, allergy shots are istered either every week or biweekly. The quantity of allergen in each dose will gradually increase with each injection. The regular injections will continue until the maintenance level is reached. The shots are only needed every few weeks during the maintenance level. The injections are always delivered in office by a medical professional, as there is a little risk of an allergic reaction occurring. Dr. Rahimi and his team take the utmost care to ensure the safety of their patients while pursuing this course of treatment.


Counseling and Psychological Services (CAPS)

Charges for students who own been assessed the Health Fee

Access Coordination

$0

Initial Consult

$0

Follow Up Visit(s)

$0

Groups and Workshops

$0

Referral Coordination

$0

Psychiatry Initial Consult $0 (A Referral Specialist is available to assist identify psychiatric care in the community for students who own insurance  coverage other than Cardinal Care)
Psychiatry Follow Up Visit(s) Fees will apply.

A $25 copay is charged for students enrolled in Cardinal Care. For students with other insurance coverage, the full cost of the visit is charged at the time of service (may be reimbursable by insurance).


How endless does it take for the shots to be effective?

Most patients get maintenance allergy shots from between three and five years, although some may need treatment throughout their lifetime. While the immunity does not happen immediately, some patients do start to experience reduced symptoms early in the process.

In some patients, immunity is maintained and treatment can be stopped after a few years. For others, treatment may be needed for longer periods of time to build lasting immunity. Generally the benefits of allergy shots can final for numerous years, or even a lifetime.


What are allergy shots?

Allergy shots are also called Immunotherapy. They stimulate the immune system to reply to allergens safely, effectively and naturally.

A patient is given injections of little samples of a known allergen to assist them build an immunity, training the body to increase its tolerance to a variety of allergens. This treatment is typically used when a specific allergy is identified and it cannot be avoided, or medications do not provide sufficient relief. These FDA approved injections include extracts from allergens, derived from the mold, pollen, animal dander, venom or dust mites known to cause allergic reactions.


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