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First-Day Intensive Care For A Sick Newborn (Not Critical)

Kentucky rates for HCPCS 99477

A hospital evaluation and management service for the first day of caring for a newborn, 28 days old or younger, who needs frequent monitoring and extra interventions beyond routine newborn care but is not critically ill. It reflects the more intensive, hands-on level of care some newborns need without meeting the threshold of critical, life-threatening illness.

Rates data updated July 2026.

Facilitymedian $417 · 10th–90th $295$4370%20%40%10th90th$417Professionalmedian $339 · 10th–90th $263$9770%20%10th90th$339$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$1,202.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$457.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$575.44