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 />
J1785 $4.12 N<br />
J1790 Packaged N<br />
J1800 Packaged N<br />
J1815 Packaged N<br />
J1817 $3.37 N<br />
J1830 $175.51 N<br />
J1835 Packaged N<br />
J1840 Packaged N<br />
J1850 Packaged N<br />
J1885 Packaged N<br />
J1890 Packaged N<br />
J1930 $26.62 N<br />
J1931 $25.08 N<br />
J1940 Packaged N<br />
J1945 $226.90 N<br />
J1950 $483.41 N<br />
J1953 $0.46 N<br />
J1956 Packaged N<br />
J1960 Packaged N<br />
J1980 Packaged N<br />
J1990 Packaged N<br />
J2001 Packaged N<br />
J2010 Packaged N<br />
J2020 $30.94 N<br />
J2060 Packaged N<br />
J2150 Packaged N<br />
J2170 Packaged N<br />
J2175 Packaged N<br />
J2180 Packaged N<br />
J2185 Packaged N<br />
J2210 Packaged N<br />
J2248 $1.11 N<br />
J2250 Packaged N<br />
J2260 Packaged N<br />
J2270 Packaged N<br />
J2271 Packaged N<br />
J2275 Packaged N<br />
J2278 $6.38 N<br />
Procedure<br />
Code<br />
Allowed<br />
Amount<br />
Multiple<br />
Procedure<br />
Discounting<br />
J2280 Packaged N<br />
J2300 Packaged N<br />
J2310 Packaged N<br />
J2315 $2.10 N<br />
J2320 $7.00 N<br />
J2321 $7.00 N<br />
J2322 $14.73 N<br />
J2323 $8.08 N<br />
J2325 $37.25 N<br />
J2353 $106.19 N<br />
J2354 Packaged N<br />
J2355 $241.17 N<br />
J2357 $18.86 N<br />
J2360 Packaged N<br />
J2370 Packaged N<br />
J2400 Packaged N<br />
J2405 Packaged N<br />
J2410 Packaged N<br />
J2425 $11.11 N<br />
J2430 $19.98 N<br />
J2440 Packaged N<br />
J2460 Packaged N<br />
J2469 $17.18 N<br />
J2501 Packaged N<br />
J2503 $1,014.11 N<br />
J2504 $242.67 N<br />
J2505 $2,320.08 N<br />
J2510 Packaged N<br />
J2513 $158.77 N<br />
J2515 Packaged N<br />
J2540 Packaged N<br />
J2543 Packaged N<br />
J2550 Packaged N<br />
J2560 Packaged N<br />
J2562 $268.72 N<br />
J2590 Packaged N<br />
J2597 Packaged N<br />
J2650 Packaged N<br />
CPT® codes only are copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply<br />
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