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DTaP And Polio Combination Vaccine

Alabama 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 $47 · 10th–90th $37$780%20%10th90th$47Professionalmedian $66 · 10th–90th $63$2290%20%40%10th90th$66$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$79.43