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Daily Critical Care For A Critically Ill Infant, First Day

Massachusetts rates for HCPCS 99471

A physician or other qualified clinician provides the first day of intensive, ongoing hospital care for a critically ill infant or young child roughly one month to two years old. Because the child's condition is unstable and requires close, continuous attention, this covers all the connected care given that day, not a single brief visit. Each following day of similarly intensive care is handled as its own separate service.

Facilitymedian $708 · 10th–90th $339$1,1750%10%10th90th$708Professionalmedian $1,202 · 10th–90th $631$3,0900%10%10th90th$1,202$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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$3,801.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,949.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$1,148.15
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$1,148.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,258.93
Typical High
$1,862.09
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,309.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$2,089.30