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Daily Critical Care For A Critically Ill Newborn, First Day

Wisconsin rates for HCPCS 99468

A physician or other qualified clinician provides the first day of intensive, ongoing hospital care for a critically ill newborn who is 28 days old or younger. Because the newborn's condition is unstable and needs close, continuous attention, this covers all connected care given that day rather than a single brief visit. Each following day of similarly intensive care is handled as its own separate service.

Rates data updated July 2026.

Facilitymedian $1,047 · 10th–90th $692$2,0890%10%10th90th$1,047Professionalmedian $1,413 · 10th–90th $741$5,2480%10%10th90th$1,413$50.0$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
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,691.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,148.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,691.53
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,187.76
Typical High
$2,818.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,905.46
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$8,128.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$2,238.72
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,905.46
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,778.28
Typical High
$2,630.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$5,623.41
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$4,466.84
Typical High
$8,128.31
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,819.70
Typical High
$3,019.95