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DTaP And Polio Combination Vaccine

Iowa 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 $63 · 10th–90th $63$740%50%90th$63Professionalmedian $85 · 10th–90th $65$2140%10%20%10th90th$85$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
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$63.10
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$36.31
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$75.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$79.43
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10