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Newborn Critical Care, Follow-Up Day

Maine rates for HCPCS 99469

Ongoing critical care management for a newborn, 28 days old or younger, who is critically ill and requires constant, high-level medical attention. This covers each day of critical care after the first day of this level of treatment.

Rates data updated July 2026.

How much does Newborn Critical Care, Follow-Up Day cost?

$417

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $347 to $692.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $417 · 10th to 90th $316 to $891
$500$1Kprofessional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$933.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$870.96

Where Maine sits

The same service costs 2.5 times more in North Dakota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 23rd of 51

$417

ND $832AL $339

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.