Combined DTaP, polio and Hib childhood vaccine injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dtap-Ipv/Hib Vaccine for Intramuscular Use

Payers reporting CPT 90698

Payer pricing summary

Low

$31

Average

$209

Median

$168

High

$723

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +28 other terms	449	$223	$221	$115	52%	2–20	$0 – $844
2	Cigna fee schedule · outpatient · +24 other terms	237	$207	$366	$239	65%	—	$0 – $1.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	236	$239	$301	$188	63%	—	$0 – $1.0k
4	Humana fee schedule · outpatient · +22 other terms	170	$123	$401	$775	193%	—	$9 – $8.3k
5	Aetna fee schedule · outpatient · +28 other terms	128	$142	$339	$787	232%	—	$0 – $8.4k
6	Anthem fee schedule · outpatient · +23 other terms	81	$132	$164	$84	51%	—	$0 – $568
7	Molina facility · case rate · outpatient · +24 other terms	37	$20	$15	$7	43%	—	$6 – $36
8	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$487	$448	$146	33%	—	$181 – $766
9	Caresource fee schedule · outpatient · +13 other terms	30	$127	$122	$4	3%	—	$108 – $127
10	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	28	$12	$18	$16	87%	—	$10 – $90
11	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$302	$268	$43	16%	—	$210 – $327
12	Highmark facility · fee schedule · outpatient · +18 other terms	26	$12	$122	$144	118%	—	$11 – $682
13	Medica fee schedule · outpatient · +15 other terms	25	$206	$219	$64	29%	—	$31 – $300
14	Medcost percent of total billed charges · outpatientfrom % of charges · +7 other terms	24	$272	$299	$153	51%	—	$101 – $833
15	Regence facility · fee schedule · both · +13 other terms	22	$120	$152	$76	50%	—	$56 – $424
16	Premera facility · fee schedule · both · +9 other terms	21	$120	$151	$75	50%	—	$78 – $424
17	Wellmark facility · fee schedule · both · +17 other terms	21	$120	$143	$68	47%	—	$42 – $424
18	Carefirst facility · fee schedule · both · +10 other terms	20	$120	$152	$74	48%	—	$120 – $424
19	Excellus facility · fee schedule · both · +11 other terms	20	$120	$149	$70	47%	—	$120 – $424
20	MultiPlan fee schedule · outpatient · +16 other terms	19	$234	$419	$709	169%	—	$63 – $4.1k
21	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	16	$235	$343	$222	65%	—	$110 – $664
22	Kaiser facility · fee schedule · both · +18 other terms	15	$120	$135	$101	75%	—	$9 – $424
23	Aetna Better Health fee schedule · outpatient · +11 other terms	14	$111	$71	$59	83%	—	$0 – $125
24	Ambetter other · outpatient · +14 other terms	13	$2.7k	$2.1k	$1.2k	57%	—	$45 – $2.9k
25	Medicaid fee schedule · outpatient · +16 other terms	13	$124	$120	$122	102%	—	$1 – $375

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