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Daily Critical Care For A Critically Ill Infant, First Day

New York 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 July 2026.

Facilitymedian $891 · 10th–90th $575$1,4130%20%10th90th$891Professionalmedian $977 · 10th–90th $617$2,8840%10%10th90th$977$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
$575.44
Median
$891.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$2,041.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,513.56
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$2,398.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,659.59
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,621.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$1,621.81
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$3,715.35
Univera
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,659.59