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DTaP And Polio Combination Vaccine

Oklahoma 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 $72 · 10th–90th $71$720%50%10th$72Professionalmedian $71 · 10th–90th $65$830%20%40%10th90th$71$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
$70.79
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$79.43