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Ongoing Daily Care For A Very Low Birth Weight Newborn

Montana 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 $224 · 10th–90th $126$2750%20%40%10th90th$224Professionalmedian $162 · 10th–90th $105$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
$104.71
Median
$147.91
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$302.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$245.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$263.03