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Daily Care, Recovering Low Birth Weight Newborn

South Dakota rates for HCPCS 99479

Ongoing daily hospital management for a newborn weighing roughly 3 to 5.5 pounds who needs intensive monitoring and frequent care while recovering, but who is not in a critical or life-threatening condition. It covers each day of this level of care after the first day.

Facilitymedian $178 · 10th–90th $112$2570%10%20%10th90th$178Professionalmedian $151 · 10th–90th $95$3310%10%10th90th$151$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
$95.50
Median
$125.89
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$275.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$251.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$245.47