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New Jersey rates for HCPCS 98975

Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment

Facilitymedian $295 · 10th–90th $22–$6030%20%10th90th$295Professionalmedian $20 · 10th–90th $15–$370%10%20%10th90th$20$20.0$50.0$100.0$200.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $23.99
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $295.12 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $27.54 / $50.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $32.36 / $45.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $660.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $40.74