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External Electrocardiographic Recording Codes

JL Part B 2021 Contractor-Priced Reimbursement Rates for New External Electrocardiographic Recording Codes

Novitas Solutions has developed the following JL rates effective January 1, 2021, for new Current Procedural Terminology (CPT)® codes 93241, 93243, 93245 and 93247:

State	Locality	Code 93241 Participating Provider	Code 93241 Non-Participating Provider	Code 93241 Limiting Charge Amount
DC and Maryland/Virginia Suburbs	01	$97.21	$92.35	$111.79
Delaware	01	$82.05	$77.94	$94.35
Baltimore/Surrounding Counties, Maryland	01	$87.64	$83.26	$100.79
Maryland	99	$83.27	$79.10	$95.76
New Jersey	01	$94.35	$89.63	$108.50
New Jersey	99	$90.36	$85.84	$103.92
Pennsylvania	01	$86.58	$82.26	$99.57
Pennsylvania	99	$76.46	$72.64	$87.93

State	Locality	Code 93243 Participating Provider	Code 93243 Non-Participating Provider	Code 93243 Limiting Charge Amount
DC and Maryland/Virginia Suburbs	01	$51.34	$48.78	$59.04
Delaware	01	$42.40	$40.28	$48.76
Baltimore/Surrounding Counties, Maryland	01	$45.58	$43.31	$52.42
Maryland	99	$43.07	$40.92	$49.53
New Jersey	01	$ 49.70	$47.22	$57.16
New Jersey	99	$ 47.31	$44.95	$54.41
Pennsylvania	01	$ 45.01	$42.76	$51.76
Pennsylvania	99	$ 38.97	$37.02	$44.82

State	Locality	Code 93245 Participating Provider	Code 93245 Non-Participating Provider	Code 93245 Limiting Charge Amount
DC and Maryland/Virginia Suburbs	01	$ 97.21	$92.35	$111.79
Delaware	01	$ 82.05	$77.94	$94.35
Baltimore/Surrounding Counties, Maryland	01	$ 87.64	$83.26	$100.79
Maryland	99	$ 83.27	$79.10	$95.76
New Jersey	01	$ 94.35	$89.63	$108.50
New Jersey	99	$ 90.36	$85.84	$103.92
Pennsylvania	01	$ 86.58	$82.26	$99.57
Pennsylvania	99	$ 76.46	$72.64	$87.93

State	Locality	Code 93247 Participating Provider	Code 93247 Non-Participating Provider	Code 93247 Limiting Charge Amount
DC and Maryland/Virginia Suburbs	01	$ 51.34	$48.78	$59.04
Delaware	01	$ 42.40	$40.28	$48.76
Baltimore/Surrounding Counties, Maryland	01	$ 45.58	$43.31	$52.42
Maryland	99	$ 43.07	$40.92	$49.53
New Jersey	01	$ 49.70	$47.22	$57.16
New Jersey	99	$ 47.31	$44.95	$54.41
Pennsylvania	01	$ 45.01	$42.76	$51.76
Pennsylvania	99	$ 38.97	$37.02	$44.82

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Last modified: 01/29/2021

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