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DTaP And Polio Combination Vaccine

Alaska rates for HCPCS 90696

A single injection protecting against four infections at once: diphtheria, tetanus, whooping cough, and polio. Combining them means one needle instead of separate injections for each. The charge covers the vaccine itself; giving the injection is charged separately.

Facilitymedian $65 · 10th–90th $50$1580%10%20%10th90th$65Professionalmedian $66 · 10th–90th $59$660%50%10th$66$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$95.50
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$165.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$79.43