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["Code Lookup Tool (Anesthesia Fee Schedule)"]
[null,null,null,"Code","Anesthesia Value","Payment Method","Base Source","FSI","Prior Auth"]
["Enter code -->",922,1,{"$f":"VLOOKUP(C3,Ref!A4:G271,{2,3,4,5,6,7},)","v":922},6,"Base/Time","CMS","A",0,922]
[null,null,null,"NOTE: The MARFS chapters linked below are recommended for your understanding of these codes but are not to be considered explicit context and do not remove your responsibility to bill properly in accordance with the L&I Provider Agreement, applicable RCWs and WACs, and the MARFS in its entirety."]
[null,null,null,"Chapter 2: Information for All Providers"]
[null,null,null,"Chapter 4: Anesthesia Services"]

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["Anesthesia Services Fee Schedule"]
[]
[]
[]
["Effective for Dates of Service on or After"]
[]
["2021-07-01"]
[]
[null,"To Skip The Keys\n&\nGo To The Fees\nClick Here"]
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["ANESTHESIA SERVICES FEE SCHEDULE                   "]
["FIELD KEY:  "]
["Column Title",null,"Column Description",null,null,"Column Values",null,"Value Definitions"]
["CPTÒ CODE",null,"2020 CPT® anesthesia code.",null,null,null,null,"2020 CPT® anesthesia code."]
["ANES VALUE",null,"Indicates the anesthesia base units, maximum dollar value, or coverage for the anesthesia service.",null,null,"Number",null,"Anesthesia base units for services paid with the base and time payment method."]
[null,null,null,null,null,"Dollar Value",null,"Fee schedule dollar value for services paid with the maximum fee method."]
[null,null,null,null,null,"By Report",null,"Service paid on a “by report” basis."]
[null,null,null,null,null,"Not Covered",null,"Procedure code is not covered."]
["PAYMENT METHOD",null,"Indicates the payment method for the anesthesia service.",null,null,"Base/Time",null,"Service paid with base and time units."]
[null,null,null,null,null,"By Report",null,"Service paid on a “by report” basis."]
[null,null,null,null,null,"Maximum Fee",null,"Service paid based on a maximum dollar value."]
[null,null,null,null,null,"Not Covered",null,"Procedure code is not covered,"]
["BASE SOURCE",null,"Indicates the source of the anesthesia base units.",null,null,"CMS",null,"Base unit source is the Centers for Medicare and Medicaid Services (CMS)."]
[null,null,null,null,null,"ASA",null,"Base unit source is the American Society of Anesthesiologists’ Relative Value Guide."]
[null,null,null,null,null,"N/A",null,"Service not paid by base and time unit method"]
["FSI",null,"Fee Schedule Indicator \nThis column indicates the payment status for the procedure code.",null,null,"A",null,"Paid using base units"]
[null,null,null,null,null,"F",null,"Flat Fee developed by the department"]
[null,null,null,null,null,"N",null,"No fee or RVUs available, paid By Report"]
[null,null,null,null,null,"R",null,"Fee set by RBRVS RVUs"]
[null,null,null,null,null,"X",null,"Non-covered code"]
[]
[null,null,null,"Anesthesia Fees"]
[null,null,null,"CPTÒ  CODE","ANES VALUE","PAYMENT METHOD","BASE SOURCE","FSI","PRIOR AUTH"]
[null,null,null,100,5,"Base/Time","CMS","A"]
[null,null,null,102,6,"Base/Time","CMS","A"]
[null,null,null,103,5,"Base/Time","CMS","A"]
[null,null,null,104,4,"Base/Time","CMS","A"]
[null,null,null,120,5,"Base/Time","CMS","A"]
[null,null,null,124,4,"Base/Time","CMS","A"]
[null,null,null,126,4,"Base/Time","CMS","A"]
[null,null,null,140,5,"Base/Time","CMS","A"]
[null,null,null,142,4,"Base/Time","CMS","A"]
[null,null,null,144,6,"Base/Time","CMS","A"]
[null,null,null,145,6,"Base/Time","CMS","A"]
[null,null,null,147,4,"Base/Time","CMS","A"]
[null,null,null,148,4,"Base/Time","CMS","A"]
[null,null,null,160,5,"Base/Time","CMS","A"]
[null,null,null,162,7,"Base/Time","CMS","A"]
[null,null,null,164,4,"Base/Time","CMS","A"]
[null,null,null,170,5,"Base/Time","CMS","A"]
[null,null,null,172,6,"Base/Time","CMS","A"]
[null,null,null,174,6,"Base/Time","CMS","A"]
[null,null,null,176,7,"Base/Time","CMS","A"]
[null,null,null,190,5,"Base/Time","CMS","A"]
[null,null,null,192,7,"Base/Time","CMS","A"]
[null,null,null,210,11,"Base/Time","CMS","A"]
[null,null,null,211,10,"Base/Time","CMS","A"]
[null,null,null,212,5,"Base/Time","CMS","A"]
[null,null,null,214,9,"Base/Time","CMS","A"]
[null,null,null,215,9,"Base/Time","CMS","A"]
[null,null,null,216,15,"Base/Time","CMS","A"]
[null,null,null,218,13,"Base/Time","CMS","A"]
[null,null,null,220,10,"Base/Time","CMS","A"]
[null,null,null,222,6,"Base/Time","CMS","A"]
[null,null,null,300,5,"Base/Time","CMS","A"]
[null,null,null,320,6,"Base/Time","CMS","A"]
[null,null,null,322,3,"Base/Time","CMS","A"]
[null,null,null,326,0,"Not Covered","N/A","X"]
[null,null,null,350,10,"Base/Time","CMS","A"]
[null,null,null,352,5,"Base/Time","CMS","A"]
[null,null,null,400,3,"Base/Time","CMS","A"]
[null,null,null,402,5,"Base/Time","CMS","A"]
[null,null,null,404,5,"Base/Time","CMS","A"]
[null,null,null,406,13,"Base/Time","CMS","A"]
[null,null,null,410,4,"Base/Time","CMS","A"]
[null,null,null,450,5,"Base/Time","CMS","A"]
[null,null,null,454,3,"Base/Time","CMS","A"]
[null,null,null,470,6,"Base/Time","CMS","A"]
[null,null,null,472,10,"Base/Time","CMS","A"]
[null,null,null,474,13,"Base/Time","CMS","A"]
[null,null,null,500,15,"Base/Time","CMS","A"]
[null,null,null,520,6,"Base/Time","CMS","A"]
[null,null,null,522,4,"Base/Time","CMS","A"]
[null,null,null,524,4,"Base/Time","CMS","A"]
[null,null,null,528,8,"Base/Time","CMS","A"]
[null,null,null,529,0,"Not Covered","N/A","X"]
[null,null,null,530,4,"Base/Time","CMS","A"]
[null,null,null,532,4,"Base/Time","CMS","A"]
[null,null,null,534,7,"Base/Time","CMS","A"]
[null,null,null,537,7,"Base/Time","CMS","A"]
[null,null,null,539,18,"Base/Time","CMS","A"]
[null,null,null,540,12,"Base/Time","CMS","A"]
[null,null,null,541,15,"Base/Time","CMS","A"]
[null,null,null,542,15,"Base/Time","CMS","A"]
[null,null,null,546,15,"Base/Time","CMS","A"]
[null,null,null,548,17,"Base/Time","CMS","A"]
[null,null,null,550,10,"Base/Time","CMS","A"]
[null,null,null,560,15,"Base/Time","CMS","A"]
[null,null,null,561,0,"Not Covered","N/A","X"]
[null,null,null,562,20,"Base/Time","CMS","A"]
[null,null,null,563,25,"Base/Time","CMS","A"]
[null,null,null,566,25,"Base/Time","CMS","A"]
[null,null,null,567,18,"Base/Time","CMS","A"]
[null,null,null,580,20,"Base/Time","CMS","A"]
[null,null,null,600,10,"Base/Time","CMS","A"]
[null,null,null,604,13,"Base/Time","CMS","A"]
[null,null,null,620,10,"Base/Time","CMS","A"]
[null,null,null,625,13,"Base/Time","CMS","A"]
[null,null,null,626,15,"Base/Time","CMS","A"]
[null,null,null,630,8,"Base/Time","CMS","A"]
[null,null,null,632,7,"Base/Time","CMS","A"]
[null,null,null,635,4,"Base/Time","CMS","A"]
[null,null,null,640,3,"Base/Time","CMS","A"]
[null,null,null,670,13,"Base/Time","CMS","A"]
[null,null,null,700,4,"Base/Time","CMS","A"]
[null,null,null,702,4,"Base/Time","CMS","A"]
[null,null,null,730,5,"Base/Time","CMS","A"]
[null,null,null,731,5,"Base/Time","CMS","A"]
[null,null,null,750,4,"Base/Time","CMS","A"]
[null,null,null,752,6,"Base/Time","CMS","A"]
[null,null,null,754,7,"Base/Time","CMS","A"]
[null,null,null,756,7,"Base/Time","CMS","A"]
[null,null,null,770,15,"Base/Time","CMS","A"]
[null,null,null,790,7,"Base/Time","CMS","A"]
[null,null,null,792,13,"Base/Time","CMS","A"]
[null,null,null,794,8,"Base/Time","CMS","A"]
[null,null,null,796,30,"Base/Time","CMS","A"]
[null,null,null,797,0,"Not Covered","N/A","X"]
[null,null,null,800,4,"Base/Time","CMS","A"]
[null,null,null,802,5,"Base/Time","CMS","A"]
[null,null,null,820,5,"Base/Time","CMS","A"]
[null,null,null,830,4,"Base/Time","CMS","A"]
[null,null,null,832,6,"Base/Time","CMS","A"]
[null,null,null,834,0,"Not Covered","N/A","X"]
[null,null,null,836,0,"Not Covered","N/A","X"]
[null,null,null,840,6,"Base/Time","CMS","A"]
[null,null,null,842,4,"Base/Time","CMS","A"]
[null,null,null,844,7,"Base/Time","CMS","A"]
[null,null,null,846,8,"Base/Time","CMS","A"]
[null,null,null,848,8,"Base/Time","CMS","A"]
[null,null,null,851,0,"Not Covered","N/A","X"]
[null,null,null,860,6,"Base/Time","CMS","A"]
[null,null,null,862,7,"Base/Time","CMS","A"]
[null,null,null,864,8,"Base/Time","CMS","A"]
[null,null,null,865,7,"Base/Time","CMS","A"]
[null,null,null,866,10,"Base/Time","CMS","A"]
[null,null,null,868,10,"Base/Time","CMS","A"]
[null,null,null,870,5,"Base/Time","CMS","A"]
[null,null,null,872,7,"Base/Time","CMS","A"]
[null,null,null,873,5,"Base/Time","CMS","A"]
[null,null,null,880,15,"Base/Time","CMS","A"]
[null,null,null,882,10,"Base/Time","CMS","A"]
[null,null,null,902,5,"Base/Time","CMS","A"]
[null,null,null,904,7,"Base/Time","CMS","A"]
[null,null,null,906,4,"Base/Time","CMS","A"]
[null,null,null,908,6,"Base/Time","CMS","A"]
[null,null,null,910,3,"Base/Time","CMS","A"]
[null,null,null,912,5,"Base/Time","CMS","A"]
[null,null,null,914,5,"Base/Time","CMS","A"]
[null,null,null,916,5,"Base/Time","CMS","A"]
[null,null,null,918,5,"Base/Time","CMS","A"]
[null,null,null,920,3,"Base/Time","CMS","A"]
[null,null,null,921,3,"Base/Time","CMS","A"]
[null,null,null,922,6,"Base/Time","CMS","A"]
[null,null,null,924,4,"Base/Time","CMS","A"]
[null,null,null,926,4,"Base/Time","CMS","A"]
[null,null,null,928,6,"Base/Time","CMS","A"]
[null,null,null,930,4,"Base/Time","CMS","A"]
[null,null,null,932,4,"Base/Time","CMS","A"]
[null,null,null,934,6,"Base/Time","CMS","A"]
[null,null,null,936,8,"Base/Time","CMS","A"]
[null,null,null,938,4,"Base/Time","CMS","A"]
[null,null,null,940,3,"Base/Time","CMS","A"]
[null,null,null,942,4,"Base/Time","CMS","A"]
[null,null,null,944,6,"Base/Time","CMS","A"]
[null,null,null,948,4,"Base/Time","CMS","A"]
[null,null,null,950,5,"Base/Time","CMS","A"]
[null,null,null,952,4,"Base/Time","CMS","A"]
[null,null,null,1112,5,"Base/Time","CMS","A"]
[null,null,null,1120,6,"Base/Time","CMS","A"]
[null,null,null,1130,3,"Base/Time","CMS","A"]
[null,null,null,1140,15,"Base/Time","CMS","A"]
[null,null,null,1150,10,"Base/Time","CMS","A"]
[null,null,null,1160,4,"Base/Time","CMS","A"]
[null,null,null,1170,8,"Base/Time","CMS","A"]
[null,null,null,1173,12,"Base/Time","CMS","A"]
[null,null,null,1200,4,"Base/Time","CMS","A"]
[null,null,null,1202,4,"Base/Time","CMS","A"]
[null,null,null,1210,6,"Base/Time","CMS","A"]
[null,null,null,1212,10,"Base/Time","CMS","A"]
[null,null,null,1214,8,"Base/Time","CMS","A"]
[null,null,null,1215,10,"Base/Time","CMS","A"]
[null,null,null,1220,4,"Base/Time","CMS","A"]
[null,null,null,1230,6,"Base/Time","CMS","A"]
[null,null,null,1232,5,"Base/Time","CMS","A"]
[null,null,null,1234,8,"Base/Time","CMS","A"]
[null,null,null,1250,4,"Base/Time","CMS","A"]
[null,null,null,1260,3,"Base/Time","CMS","A"]
[null,null,null,1270,8,"Base/Time","CMS","A"]
[null,null,null,1272,4,"Base/Time","CMS","A"]
[null,null,null,1274,6,"Base/Time","CMS","A"]
[null,null,null,1320,4,"Base/Time","CMS","A"]
[null,null,null,1340,4,"Base/Time","CMS","A"]
[null,null,null,1360,5,"Base/Time","CMS","A"]
[null,null,null,1380,3,"Base/Time","CMS","A"]
[null,null,null,1382,3,"Base/Time","CMS","A"]
[null,null,null,1390,3,"Base/Time","CMS","A"]
[null,null,null,1392,4,"Base/Time","CMS","A"]
[null,null,null,1400,4,"Base/Time","CMS","A"]
[null,null,null,1402,7,"Base/Time","CMS","A"]
[null,null,null,1404,5,"Base/Time","CMS","A"]
[null,null,null,1420,3,"Base/Time","CMS","A"]
[null,null,null,1430,3,"Base/Time","CMS","A"]
[null,null,null,1432,6,"Base/Time","CMS","A"]
[null,null,null,1440,8,"Base/Time","CMS","A"]
[null,null,null,1442,8,"Base/Time","CMS","A"]
[null,null,null,1444,8,"Base/Time","CMS","A"]
[null,null,null,1462,3,"Base/Time","CMS","A"]
[null,null,null,1464,3,"Base/Time","CMS","A"]
[null,null,null,1470,3,"Base/Time","CMS","A"]
[null,null,null,1472,5,"Base/Time","CMS","A"]
[null,null,null,1474,5,"Base/Time","CMS","A"]
[null,null,null,1480,3,"Base/Time","CMS","A"]
[null,null,null,1482,4,"Base/Time","CMS","A"]
[null,null,null,1484,4,"Base/Time","CMS","A"]
[null,null,null,1486,7,"Base/Time","CMS","A"]
[null,null,null,1490,3,"Base/Time","CMS","A"]
[null,null,null,1500,8,"Base/Time","CMS","A"]
[null,null,null,1502,6,"Base/Time","CMS","A"]
[null,null,null,1520,3,"Base/Time","CMS","A"]
[null,null,null,1522,5,"Base/Time","CMS","A"]
[null,null,null,1610,5,"Base/Time","CMS","A"]
[null,null,null,1620,4,"Base/Time","CMS","A"]
[null,null,null,1622,4,"Base/Time","CMS","A"]
[null,null,null,1630,5,"Base/Time","CMS","A"]
[null,null,null,1634,9,"Base/Time","CMS","A"]
[null,null,null,1636,15,"Base/Time","CMS","A"]
[null,null,null,1638,10,"Base/Time","CMS","A"]
[null,null,null,1650,6,"Base/Time","CMS","A"]
[null,null,null,1652,10,"Base/Time","CMS","A"]
[null,null,null,1654,8,"Base/Time","CMS","A"]
[null,null,null,1656,10,"Base/Time","CMS","A"]
[null,null,null,1670,4,"Base/Time","CMS","A"]
[null,null,null,1680,3,"Base/Time","CMS","A"]
[null,null,null,1710,3,"Base/Time","CMS","A"]
[null,null,null,1712,5,"Base/Time","CMS","A"]
[null,null,null,1714,5,"Base/Time","CMS","A"]
[null,null,null,1716,5,"Base/Time","CMS","A"]
[null,null,null,1730,3,"Base/Time","CMS","A"]
[null,null,null,1732,3,"Base/Time","CMS","A"]
[null,null,null,1740,4,"Base/Time","CMS","A"]
[null,null,null,1742,5,"Base/Time","CMS","A"]
[null,null,null,1744,5,"Base/Time","CMS","A"]
[null,null,null,1756,6,"Base/Time","CMS","A"]
[null,null,null,1758,5,"Base/Time","CMS","A"]
[null,null,null,1760,7,"Base/Time","CMS","A"]
[null,null,null,1770,6,"Base/Time","CMS","A"]
[null,null,null,1772,6,"Base/Time","CMS","A"]
[null,null,null,1780,3,"Base/Time","CMS","A"]
[null,null,null,1782,4,"Base/Time","CMS","A"]
[null,null,null,1810,3,"Base/Time","CMS","A"]
[null,null,null,1820,3,"Base/Time","CMS","A"]
[null,null,null,1829,3,"Base/Time","CMS","A"]
[null,null,null,1830,3,"Base/Time","CMS","A"]
[null,null,null,1832,6,"Base/Time","CMS","A"]
[null,null,null,1840,6,"Base/Time","CMS","A"]
[null,null,null,1842,6,"Base/Time","CMS","A"]
[null,null,null,1844,6,"Base/Time","CMS","A"]
[null,null,null,1850,3,"Base/Time","CMS","A"]
[null,null,null,1852,4,"Base/Time","CMS","A"]
[null,null,null,1860,3,"Base/Time","CMS","A"]
[null,null,null,1916,5,"Base/Time","CMS","A"]
[null,null,null,1920,7,"Base/Time","CMS","A"]
[null,null,null,1922,7,"Base/Time","CMS","A"]
[null,null,null,1924,5,"Base/Time","CMS","A"]
[null,null,null,1925,7,"Base/Time","CMS","A"]
[null,null,null,1926,8,"Base/Time","CMS","A"]
[null,null,null,1930,5,"Base/Time","CMS","A"]
[null,null,null,1931,7,"Base/Time","CMS","A"]
[null,null,null,1932,6,"Base/Time","CMS","A"]
[null,null,null,1933,7,"Base/Time","CMS","A"]
[null,null,null,1935,5,"Base/Time","CMS","A"]
[null,null,null,1936,5,"Base/Time","CMS","A"]
[null,null,null,1951,3,"Base/Time","CMS","A"]
[null,null,null,1952,5,"Base/Time","CMS","A"]
[null,null,null,1953,54.6,"Maximum Fee","N/A","F"]
[null,null,null,1958,5,"Base/Time","CMS","A"]
[null,null,null,1960,5,"Base/Time","CMS","A"]
[null,null,null,1961,7,"Base/Time","CMS","A"]
[null,null,null,1962,8,"Base/Time","CMS","A"]
[null,null,null,1963,8,"Base/Time","CMS","A"]
[null,null,null,1965,4,"Base/Time","CMS","A"]
[null,null,null,1966,4,"Base/Time","CMS","A"]
[null,null,null,1967,5,"Base/Time","CMS","A"]
[null,null,null,1968,2,"Base/Time","CMS","A"]
[null,null,null,1969,5,"Base/Time","CMS","A"]
[null,null,null,1990,7,"Base/Time","CMS","A"]
[null,null,null,1991,3,"Base/Time","CMS","A"]
[null,null,null,1992,5,"Base/Time","CMS","A"]
[null,null,null,1996,72.489999999999995,"Maximum Fee","N/A","F"]
[null,null,null,1999,"By Report","By Report","N/A","N"]

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