Set 8: Medicare Ambulatory Surgery Center (ASC) Rates

Optum

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Professional Data File
CALL 1-800-464-3649, Option 1 Set 1: National RBRVS
CALL 1-800-464-3649, Option 1 Set 10: ZIP Contractor/Locality Crosswalk
CALL 1-800-464-3649, Option 1 Set 11: National Physician Fees
CALL 1-800-464-3649, Option 1 Set 12: Locality Anesthesia RVU/Conversion
CALL 1-800-464-3649, Option 1 Set B: Anesthesia Base Units
CALL 1-800-464-3649, Option 1 Set C: Medicare ASP Drug Pricing
CALL 1-800-464-3649, Option 1 Set A: Optum Proprietary GAP RBRVS
CALL 1-800-464-3649, Option 1 Set 8: ASC Rates
CALL 1-800-464-3649, Option 1 Set 7: HCPCS (DMEPOS) Fees
CALL 1-800-464-3649, Option 1 Set 6: Locality - Psych/Social Worker Fees
CALL 1-800-464-3649, Option 1 Set 5: Locality Anesthesia Fees
CALL 1-800-464-3649, Option 1 Set 4: Clinical Lab Fees
CALL 1-800-464-3649, Option 1 Set 3: Locality Physician Fees
CALL 1-800-464-3649, Option 1 Set 2: Locality RBRVS
CALL 1-800-464-3649, Option 1 Set 13: Ambulance Fees
CALL 1-800-464-3649, Option 1 Set 14: Place of Service Code
CALL 1-800-464-3649, Option 1


CALL 1-800-464-3649, Option 1

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Calculated ASC fees for CBSAs within the specified state, using the criteria specified by CMS for ASC fee development.

Data Elements: state, CBSA, CPT® code, code description, payment indicator, base rate, payment rate and actual payment amount.

All data sets are available as .txt files, available to download from the web. Data sets are available via the web services team. Call for pricing. Custom formats may require custom pricing.

CPT is a registered trademark of the American Medical Association.


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