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DTaP And Polio Combination Vaccine

Mississippi 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 $62 · 10th–90th $35$850%20%10th90th$62Professionalmedian $66 · 10th–90th $59$1200%20%40%10th90th$66$50.0$100.0

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
$34.67
Median
$66.07
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$79.43