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Ongoing Daily Care For A Very Low Birth Weight Newborn

Oklahoma 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 $132 · 10th–90th $107$2750%10%20%10th90th$132Professionalmedian $132 · 10th–90th $107$2000%10%20%10th90th$132$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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$194.98