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DTaP And Polio Combination Vaccine

Washington 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 $38$1380%20%40%10th90th$56Professionalmedian $83 · 10th–90th $65$2140%10%20%10th90th$83$5.0$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
$38.02
Median
$66.07
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$213.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$50.12
Typical High
$147.91
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$74.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66