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DTaP And Polio Combination Vaccine

West 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.

Rates data updated July 2026.

How much does DTaP And Polio Combination Vaccine cost?

$107

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $155 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$63.10 to $129
FacilityA hospital or hospital-owned outpatient department$155$107 to $209

How much rates vary

Facilitymedian $155 · 10th to 90th $78 to $309Professionalmedian $69 · 10th to 90th $52 to $155
$100$200facility $155professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$346.74
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$141.25
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$83.18

Where West Virginia sits

The same service costs 1.7 times more in West Virginia than in Alaska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 1st of 51

$107

WV $107AK $63.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.