Daily Critical Care For A Critically Ill Infant, First Day
New Mexico 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.
Rates data updated October 2026.
How much does Daily Critical Care For A Critically Ill Infant, First Day cost?
$912
Typical physician fee. In New Mexico, October 2026.
Insurers have agreed to pay about $912 for this service. Most negotiated rates run $759 to $1,122.
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 7 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $617 · 10th to 90th $617 to $617Professionalmedian $912 · 10th to 90th $692 to $1,259
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Facility
None
$616.60
$616.60
$616.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$724.44
Typical High
$851.14
Professional
None
$616.60
$724.44
$851.14
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$758.58
Typical High
$1,071.52
Professional
None
$724.44
$758.58
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$912.01
Typical High
$1,258.93
Professional
None
$741.31
$912.01
$1,258.93
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$1,122.02
Typical High
$1,174.90
Professional
None
$33.11
$1,122.02
$1,174.90
Providence
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$954.99
Typical High
$1,318.26
Professional
None
$758.58
$954.99
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,445.44
Professional
None
$794.33
$1,096.48
$1,445.44
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Professional
25 · Same-day visit
$660.69
$660.69
$660.69
Where New Mexico sits
The same service costs 2.8 times more in Alaska than in Florida. 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.