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 />
75733 Packaged N<br />
75736 Packaged N<br />
75741 Packaged N<br />
75743 Packaged N<br />
75746 Packaged N<br />
75756 Packaged N<br />
75774 Packaged N<br />
75791 Packaged N<br />
75801 Packaged N<br />
75803 Packaged N<br />
75805 Packaged N<br />
75807 Packaged N<br />
75809 Packaged N<br />
75810 Packaged N<br />
75820 Packaged N<br />
75822 Packaged N<br />
75825 Packaged N<br />
75827 Packaged N<br />
75831 Packaged N<br />
75833 Packaged N<br />
75840 Packaged N<br />
75842 Packaged N<br />
75860 Packaged N<br />
75870 Packaged N<br />
75872 Packaged N<br />
75880 Packaged N<br />
75885 Packaged N<br />
75887 Packaged N<br />
75889 Packaged N<br />
75891 Packaged N<br />
75893 Packaged N<br />
75894 Packaged N<br />
75896 Packaged N<br />
75898 Packaged N<br />
75901 Packaged N<br />
75902 Packaged N<br />
75940 Packaged N<br />
75945 Packaged N<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
75946 Packaged N<br />
75960 Packaged N<br />
75961 Packaged N<br />
75962 Packaged N<br />
75964 Packaged N<br />
75966 Packaged N<br />
75968 Packaged N<br />
75970 Packaged N<br />
75978 Packaged N<br />
75980 Packaged N<br />
75982 Packaged N<br />
75984 Packaged N<br />
75989 Packaged N<br />
75992 Packaged N<br />
75993 Packaged N<br />
75994 Packaged N<br />
75995 Packaged N<br />
75996 Packaged N<br />
76000 Packaged N<br />
76001 Packaged N<br />
76010 $41.85 N<br />
76080 Packaged N<br />
76098 $351.92 N<br />
76100 $70.12 N<br />
76101 $195.98 N<br />
76102 $195.98 N<br />
76120 $79.75 N<br />
76125 Packaged N<br />
76150 $41.85 N<br />
76350 Packaged N<br />
76376 Packaged N<br />
76377 Packaged N<br />
76380 $102.36 N<br />
76496 $79.75 N<br />
76497 $102.36 N<br />
76498 $325.80 N<br />
76499 $41.85 N<br />
76506 $58.22 N<br />
CPT® codes only are copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply<br />
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