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 />
A9155 By Report N<br />
A9274 By Report N<br />
A9276 By Report N<br />
A9277 By Report N<br />
A9278 By Report N<br />
A9283 By Report N<br />
A9284 Packaged N<br />
A9500 Packaged N<br />
A9501 Packaged N<br />
A9502 Packaged N<br />
A9503 Packaged N<br />
A9504 Packaged N<br />
A9505 Packaged N<br />
A9507 Packaged N<br />
A9508 Packaged N<br />
A9509 Packaged N<br />
A9510 Packaged N<br />
A9512 Packaged N<br />
A9516 Packaged N<br />
A9517 $16.51 N<br />
A9521 Packaged N<br />
A9524 Packaged N<br />
A9526 Packaged N<br />
A9527 $35.35 N<br />
A9528 Packaged N<br />
A9529 Packaged N<br />
A9530 $11.02 N<br />
A9531 Packaged N<br />
A9532 Packaged N<br />
A9536 Packaged N<br />
A9537 Packaged N<br />
A9538 Packaged N<br />
A9539 Packaged N<br />
A9540 Packaged N<br />
A9541 Packaged N<br />
A9542 Packaged N<br />
A9543 $30,110.81 N<br />
A9544 Packaged N<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
A9545 $22,693.52 N<br />
A9546 Packaged N<br />
A9547 Packaged N<br />
A9548 Packaged N<br />
A9550 Packaged N<br />
A9551 Packaged N<br />
A9552 Packaged N<br />
A9553 Packaged N<br />
A9554 Packaged N<br />
A9555 Packaged N<br />
A9556 Packaged N<br />
A9557 Packaged N<br />
A9558 Packaged N<br />
A9559 Packaged N<br />
A9560 Packaged N<br />
A9561 Packaged N<br />
A9562 Packaged N<br />
A9563 $196.49 N<br />
A9564 $113.44 N<br />
A9566 Packaged N<br />
A9567 Packaged N<br />
A9568 Packaged N<br />
A9569 Packaged N<br />
A9570 Packaged N<br />
A9571 Packaged N<br />
A9572 Packaged N<br />
A9576 Packaged N<br />
A9577 Packaged N<br />
A9578 Packaged N<br />
A9579 Packaged N<br />
A9580 Packaged N<br />
A9581 $13.50 N<br />
A9582 $2,284.77 N<br />
A9583 $12.89 N<br />
A9600 $778.98 N<br />
A9604 $5,504.70 N<br />
A9698 Packaged N<br />
A9699 Packaged N<br />
CPT® codes only are copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply<br />
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