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DTaP And Polio Combination Vaccine

Colorado 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 $115 · 10th–90th $66$2450%10%10th90th$115Professionalmedian $66 · 10th–90th $51$1150%20%10th90th$66$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$251.19
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$79.43