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DTaP And Polio Combination Vaccine

New Mexico 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 $155 · 10th–90th $66$81,2830%20%10th90th$155Professionalmedian $72 · 10th–90th $65$1050%50%10th90th$72$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$154.88
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$79.43