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DTaP And Polio Combination Vaccine

Connecticut 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 $151 · 10th–90th $72$1910%20%40%10th90th$151Professionalmedian $66 · 10th–90th $52$1290%50%10th90th$66$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
Facility
Modifier
Global
Typical Low
$66.07
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$79.43