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DTaP And Polio Combination Vaccine

Wyoming 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 $251 · 10th–90th $251$3310%20%40%90th$251Professionalmedian $78 · 10th–90th $66$1700%20%10th90th$78$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$77.62
Typical High
$79.43