N.J. Admin. Code § 10:62-3.2
Current through Register Vol. 56, No. 21, November 4, 2024
| HCPCS | Maximum Fee | ||
| Ind | Code | Mod | Allowance |
| 65205 | $ 16.00 | ||
| 65210 | 32.00 | ||
| 65220 | 32.00 | ||
| 65222 | 48.00 | ||
| 65430 | 16.00 | ||
| 66999 | B.R. | ||
| 67820 | 16.00 | ||
| 67850 | 42.00 | ||
| 67938 | $ 30.00 | ||
| 67999 | B.R. | ||
| 68040 | 16.00 | ||
| 68399 | B.R. | ||
| 68761 | 30.00 | ||
| 68801 | 8.00 | ||
| 68840 | 14.13 | ||
| 68899 | B.R. | ||
| 76511 | 40.00 | ||
| 76511 | 26 | 18.00 | |
| 76511 | TC | 22.00 | |
| 76512 | 60.00 | ||
| 76512 | 26 | 34.20 | |
| 76512 | TC | 25.80 | |
| 76513 | 60.00 | ||
| 76513 | 26 | 24.00 | |
| 76513 | TC | 36.00 | |
| 76516 | 40.00 | ||
| 76516 | 26 | 18.00 | |
| 76516 | TC | 22.00 | |
| 76519 | 44.00 | ||
| 76519 | 26 | 20.00 | |
| 76519 | TC | 24.00 | |
| 76999 | B.R. | ||
| N | 92002 | 22.00 | |
| N | 92004 | 22.00 | |
| N | 92004 | 22 | 26.00 |
| N | 92012 | 22.00 | |
| N | 92014 | 22.00 | |
| N | 92014 | 22 | 26.00 |
| N | 92020 | 16.00 | |
| 92060 | 21.00 | ||
| P-N | 92065 | 16.00 | |
| N | 92081 | 16.00 | |
| N | 92082 | 16.00 | |
| N | 92083 | 16.00 | |
| N | 92100 | 16.00 | |
| N | 92120 | 16.00 | |
| N | 92130 | 16.00 | |
| 92135 | 20.00 | ||
| N | 92140 | 16.00 | |
| 92225 | 19.78 | ||
| 92226 | 16.29 | ||
| 92235 | 53.00 | ||
| 92250 | 10.00 | ||
| N | 92260 | 15.00 | |
| 92265 | 25.00 | ||
| 92270 | 11.00 | ||
| 92275 | 20.00 | ||
| 92286 | 12.00 | ||
| 92326 | 70.00 | ||
| 92533 | 4.00 | ||
| 92541 | 15.00 | ||
| 92542 | 19.00 | ||
| 92544 | 14.00 | ||
| 95930 | 23.00 | ||
| 99025 | 22.00 | ||
| 99052 | 5.00 | ||
| 99082 | B.R. | ||
| 99199 | B.R. | ||
| N | 99201 | 25.00 | |
| N | 99202 | 23.50 | |
| 99203 | 32.30 | ||
| 99204 | 32.30 | ||
| 99205 | 32.30 | ||
| N | 99211 | 16.00 | |
| N | 99212 | 23.50 | |
| N | 99213 | 23.50 | |
| N | 99214 | 23.50 | |
| N | 99215 | 23.50 | |
| 99241 | 44.00 | ||
| 99242 | 64.70 | ||
| 99243 | 64.70 | ||
| 99244 | 91.10 | ||
| 99245 | 91.10 | ||
| 99251 | 34.50 | ||
| 99252 | 64.70 | ||
| 99253 | 64.70 | ||
| 99254 | 91.10 | ||
| 99255 | 91.10 | ||
| 99261 | 16.00 | ||
| 99262 | 23.50 | ||
| 99263 | 23.50 | ||
| 99271 | 44.00 | ||
| 99272 | 64.70 | ||
| 99273 | 64.70 | ||
| 99274 | 91.10 | ||
| 99275 | 91.10 | ||
| 99281 | 16.00 | ||
| 99282 | 23.50 | ||
| 99283 | 37.74 | ||
| 99284 | 64.06 | ||
| 99285 | 93.36 | ||
| 99301 | 32.30 | ||
| 99302 | 32.30 | ||
| 99303 | 32.30 | ||
| 99311 | 23.50 | ||
| 99312 | 23.50 | ||
| 99313 | 23.50 | ||
| 99321 | 32.30 | ||
| 99322 | 32.30 | ||
| 99323 | 32.30 | ||
| 99341 | 28.71 | ||
| 99342 | 40.36 | ||
| 99344 | 95.36 |
N.J. Admin. Code § 10:62-3.2
See: 30 N.J.R. 3899(a), 31 N.J.R. 61(a).
Rewrote the section.
Amended by R.2004 d.240, effective 7/6/2004.
See: 35 N.J.R. 4993(a), 36 N.J.R. 3287(a).
Rewrote the section.