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DTaP And Polio Combination Vaccine

Florida 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 $81 · 10th–90th $66$1860%20%10th90th$81Professionalmedian $66 · 10th–90th $60$1150%20%40%10th90th$66$10.0$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
$81.28
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
AvMed
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66