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Ongoing Daily Care For A Very Low Birth Weight Newborn

Florida rates for HCPCS 99478

A newborn who is not critically ill but still needs a high level of monitoring, most often because of a very low birth weight, receives ongoing daily medical management in the hospital. This covers each additional day of this intensive newborn care for the smallest, lowest-weight babies, rather than the initial day of care or care for a critically ill infant.

Facilitymedian $110 · 10th–90th $110$2690%50%90th$110Professionalmedian $141 · 10th–90th $102$3630%10%10th90th$141$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$223.87
AvMed
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$79.43
AvMed
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$309.03
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$245.47
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$125.89