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They don't need vaccines, but they should get at least a once-a-year check up. The amount charged for a routine check up varies greatly based on where you live and what vet you go to, so you'd have to find an exotic vet around you, and call to ask what their fee is. Then you have to think of fees for any tests, medicine, etc. that may be required should the hedgehog get sick.

For my own part, my vet charges $45 for an exam fee for hedgehogs. Lily's gotten two check-ups since I got her, and both times also needed Revolution for mite flare-ups. The Revolution only cost about $10-15, since she needed such a small amount. She's had no other big problems (knock on wood!), so that's as expensive as her vet bills have gotten.
 
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