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Massachusetts rates for HCPCS 99468

Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger

Facilitymedian $794 · 10th–90th $398–$1,3800%10%10th90th$794Professionalmedian $1,318 · 10th–90th $741–$3,0900%5%10%10th90th$1,318$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,122.02 / $3,981.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,318.26 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,698.24 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,174.90 / $2,187.76
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $707.95 / $1,288.25
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $707.95 / $1,318.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,445.44 / $2,187.76
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,318.26 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $2,398.83