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DTaP And Polio Combination Vaccine

North Dakota 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 $66 · 10th–90th $66$680%50%90th$66Professionalmedian $74 · 10th–90th $63$1580%20%10th90th$74$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
$66.07
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$87.10