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DTaP And Polio Combination Vaccine

Massachusetts 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 $78 · 10th–90th $66$1860%50%10th90th$78Professionalmedian $66 · 10th–90th $52$1740%20%40%10th90th$66$1.0$10.0$100.0$1.0K$10.0K

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
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$199.53
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$154.88
Typical High
$204.17
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$87.10
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$109.65
Health New England
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$0.81
Typical High
$0.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$154.88
Typical High
$204.17
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$251.19
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$97.72