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Ongoing Daily Care For A Very Low Birth Weight Newborn

Kansas 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 $145 · 10th–90th $112$3090%10%10th90th$145Professionalmedian $148 · 10th–90th $105$3720%10%10th90th$148$100.0$200.0$500.0$1.0K

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
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$213.80