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Ongoing Daily Care For A Very Low Birth Weight Newborn

Wisconsin 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 $162 · 10th–90th $105$3630%10%10th90th$162Professionalmedian $155 · 10th–90th $107$3890%10%10th90th$155$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$245.47
Median
$245.47
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$338.84
Typical High
$407.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$295.12
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$331.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$407.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$831.76
Quartz
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$588.84
Typical High
$1,348.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Security Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$275.42
Typical High
$446.68