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DTaP And Polio Combination Vaccine

Virginia 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 $69 · 10th–90th $13$1050%20%40%10th90th$69Professionalmedian $66 · 10th–90th $56$1100%20%40%10th90th$66$10.0$20.0$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
$12.88
Median
$66.07
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$102.33
Sentara
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$109.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$251.19
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$83.18