go back

Newborn Critical Care, Follow-Up Day

West Virginia 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?

$398

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $437 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$331 to $813
FacilityA hospital or hospital-owned outpatient department$437$398 to $479

How much rates vary

Facilitymedian $437 · 10th to 90th $363 to $490Professionalmedian $398 · 10th to 90th $302 to $832
$500$1Kfacility $437professional $398

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
$302.00
Median
$398.11
Typical High
$831.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,621.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$794.33
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$630.96

Where West Virginia 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.

West Virginia· 37th of 51

$398

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.