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

Virginia 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 $316$6610%10%20%10th90th$407Professionalmedian $347 · 10th–90th $269$6610%10%20%10th90th$347$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
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$512.86
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
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$645.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$616.60