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DTaP And Polio Combination Vaccine

Minnesota 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 $132 · 10th–90th $66$2040%20%10th90th$132Professionalmedian $68 · 10th–90th $59$1290%20%40%10th90th$68$1.0$5.0$20.0$100.0$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
$66.07
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$131.83
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$77.62
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$229.09
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$114.82