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DTaP And Polio Combination Vaccine

Washington, DC 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 $135 · 10th–90th $66$1550%20%10th90th$135Professionalmedian $66 · 10th–90th $52$1480%20%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
$134.90
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$95.50