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

Wisconsin 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 $398 · 10th–90th $263$8130%10%10th90th$398Professionalmedian $513 · 10th–90th $275$2,5120%10%10th90th$513$50.0$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
$295.12
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$831.76
Typical High
$1,047.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$724.44
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$851.14
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,000.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$4,897.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,698.24
Typical High
$5,754.40
Security Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$691.83
Typical High
$1,148.15