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Ongoing Daily Care For A Very Low Birth Weight Newborn

Maine 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.

Professionalmedian $162 · 10th–90th $107$3890%10%10th90th$162$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
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$186.21
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$275.42