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DTaP And Polio Combination Vaccine

Texas 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 $132 · 10th–90th $63$3090%5%10%10th90th$132Professionalmedian $74 · 10th–90th $66$1450%20%10th90th$74$20.0$50.0$100.0$200.0$500.0$1.0K

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
$67.61
Median
$91.20
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$151.36
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$269.15
Christus
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$169.82
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$213.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$79.43