Table 1.

HPV Vaccine Reimbursement by Private Payer Across Clinician Specialties, 2017-2018

MeasureClinician Specialty
Pediatrician
n = 20,484
Family Physician
n = 9,342
Internal Medicine Specialist
n = 852
Nurse Practitioner
n = 2,339
Other
n = 1,230
HPV vaccine reimbursement, mean (SD)a$216.07 ($8.53)$211.33c ($16.80)$212.97c ($14.70)$212.91c ($14.74)$213.29c ($14.17)
Net return per dose, mean (SD)b    $5.08 ($8.53)    $0.34 ($16.80)    $1.98 ($14.70)    $1.92 ($14.74)    $2.30 ($14.17)
  • AAP = American Academy of Pediatrics; CDC = Centers for Disease Control and Prevention; HPV = human papillomavirus vaccine.

  • a HPV vaccine reimbursement was calculated as the dollar amount paid for the HPV vaccine cost to the clinician by the insurer.

  • b In 2017-2018, the CDC recommended pricing per HPV vaccine dose for the private sector was $210.99. Recommended vaccine purchase reimbursement and immunization incentive by the AAP is 125% ($263.74) of the CDC vaccine price list for the private sector.

  • c P <0.05 for the Kruskal-Wallis post hoc test compared with pediatricians.