Ambulatory Surgery Center Fee Schedule - Washington Department ...
Ambulatory Surgery Center Fee Schedule - Washington Department ...
Ambulatory Surgery Center Fee Schedule - Washington Department ...
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DOC ASC <strong>Fee</strong> <strong>Schedule</strong><br />
Effective Dates of Service 7/1/2012 thru 8/31/2012<br />
Refer to the 2012 CPT® and HCPCS coding books for complete code descriptions<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
73000 $41.85 N<br />
73010 $41.85 N<br />
73020 $41.85 N<br />
73030 $41.85 N<br />
73040 Packaged N<br />
73050 $41.85 N<br />
73060 $41.85 N<br />
73070 $41.85 N<br />
73080 $41.85 N<br />
73085 Packaged N<br />
73090 $41.85 N<br />
73092 $41.85 N<br />
73100 $41.85 N<br />
73110 $41.85 N<br />
73115 Packaged N<br />
73120 $41.85 N<br />
73130 $41.85 N<br />
73140 $41.85 N<br />
73200 $181.83 N<br />
73201 $276.87 N<br />
73202 $310.88 N<br />
73206 $317.36 N<br />
73218 $325.80 N<br />
73219 $395.21 N<br />
73220 $499.07 N<br />
73221 $325.80 N<br />
73222 $395.21 N<br />
73223 $499.07 N<br />
73500 $41.85 N<br />
73510 $41.85 N<br />
73520 $70.12 N<br />
73525 Packaged N<br />
73530 Packaged N<br />
73540 $41.85 N<br />
73542 Packaged N<br />
73550 $41.85 N<br />
73560 $41.85 N<br />
73562 $41.85 N<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
73564 $41.85 N<br />
73565 $41.85 N<br />
73580 Packaged N<br />
73590 $41.85 N<br />
73592 $41.85 N<br />
73600 $41.85 N<br />
73610 $41.85 N<br />
73615 Packaged N<br />
73620 $41.85 N<br />
73630 $41.85 N<br />
73650 $41.85 N<br />
73660 $41.85 N<br />
73700 $181.83 N<br />
73701 $276.87 N<br />
73702 $310.88 N<br />
73706 $317.36 N<br />
73718 $325.80 N<br />
73719 $395.21 N<br />
73720 $499.07 N<br />
73721 $325.80 N<br />
73722 $395.21 N<br />
73723 $499.07 N<br />
74000 $41.85 N<br />
74010 $41.85 N<br />
74020 $41.85 N<br />
74022 $70.12 N<br />
74150 $181.83 N<br />
74160 $276.87 N<br />
74170 $310.88 N<br />
74175 $317.36 N<br />
74181 $325.80 N<br />
74182 $395.21 N<br />
74183 $499.07 N<br />
74190 Packaged N<br />
74210 $81.58 N<br />
74220 $81.58 N<br />
74230 $81.58 N<br />
74235 Packaged N<br />
CPT® codes only are copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply<br />
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