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

South Carolina 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 $407 · 10th–90th $282$6760%10%10th90th$407Professionalmedian $347 · 10th–90th $269$1,1750%10%20%10th90th$347$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$537.03