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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.

Facilitymedian $138 · 10th–90th $66$2190%10%20%10th90th$138Professionalmedian $66 · 10th–90th $52$1550%20%40%10th90th$66$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$66.07
Median
$138.04
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$93,325.43
Typical High
$123,026.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$338.84
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
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$83.18