Maximum Fee | ||||
HCPCS | Allowance | MOD | ||
IND | Code | S | $ | NS |
N | 90791 | $167.21 | $142.13 | |
N | 90832 | $68.21 | $28.83 | |
N | 90833 | $70.33 | $29.69 | |
N | 90834 | $90.26 | $37.83 | |
N | 90836 | $88.79 | $37.12 | |
N | 90837 | $90.26 | $36.73 | |
N | 90838 | $89.04 | $36.73 | |
N | 90839 | $92.82 | ||
N | 90846 | HA 22 | $24.50 | |
N | 90847 | $113.94 | $26.00 | |
N | 90847-22 | $ 46.00 | $ 32.00 | |
N | 90853 | $27.50 | $6.00 | |
N | 90887 | $22.91 | $13.00 | |
N | 96105 | $ 37.00 | $ 26.00 | |
N | 96150 | $ 14.00 | $ 12.00 | |
N | 96151 | $ 14.00 | $ 12.00 | |
N | 96152 | $ 13.00 | $ 11.00 | |
N | 96153 | $3.68 | $3.13 | |
N | 96154 | $ 13.00 | $ 11.00 | |
N | 96155 | $ 12.00 | $ 10.00 |
N.J. Admin. Code § 10:67-3.2
See: 29 N.J.R. 4615(a), 30 N.J.R. 734(a).
Deleted descriptions from existing codes and added new codes and fees.
Amended by R.1998 d.514, effective 11/2/1998.
See: 30 N.J.R. 2414(a), 30 N.J.R. 3961(b).
Changed HCPCS code 90843 to 90804 and code 90844 to 90806.
Amended by R.2006 d.348, effective 10/2/2006.
See: 38 N.J.R. 2007(a), 38 N.J.R. 4219(b).
Added table entries for HCPCS Codes 96150 through 96155.