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

New Mexico 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 $437 · 10th–90th $288$7080%10%10th90th$437Professionalmedian $331 · 10th–90th $269$1,1480%20%10th90th$331$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
$467.74
Median
$467.74
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$707.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$724.44