| Providers in DC, DE, MD, NJ & PA | |
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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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