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DTaP And Polio Combination Vaccine

Oregon 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 $56 · 10th–90th $56$660%50%90th$56Professionalmedian $79 · 10th–90th $63$1780%20%10th90th$79$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
$63.10
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$83.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$154.88
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$77.62