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Ongoing Daily Care For A Very Low Birth Weight Newborn

Minnesota 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 $240 · 10th–90th $123$7940%10%10th90th$240Professionalmedian $269 · 10th–90th $112$4170%10%10th90th$269$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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$537.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$891.25
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$407.38