101 CMR 347.00 — Rates for Freestanding Ambulatory Surgery Center Services

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

1 Section

347.01: General Provisions 347.02: Definitions 347.03: General Rate Provisions and Payment 347.04: Filing and Reporting Requirements 347.05: Severability

101 CMR 347.00 Rates for Freestanding Ambulatory Surgery Center Services

347.01 General Provisions

347.01: General Provisions

(1) Scope and Purpose. 101 CMR 347.00 governs the rates of payment to eligible freestanding ambulatory surgery centers (FASCs) to be used by all governmental units for services provided to publicly aided individuals. Rates for services provided to individuals covered by M.G.L. c. 152 (the Workers’ Compensation Act), are not set forth in 101 CMR 347.00, but are at 114.3 CMR 40.00: Rates for Services Under M.G.L. c. 152, Workers’ Compensation Act.

(2) Applicable Dates of Service. Rates contained in 101 CMR 347.00 apply for dates of service provided on or after May 1, 2026, unless otherwise indicated.

(3) Coverage. 101 CMR 347.00 and the rates of payment contained in 101 CMR 347.00 are full compensation for facility services furnished in connection with surgical procedures that can be performed safely on an ambulatory basis in an FASC, are within the scope of covered services, and meet the purchasing governmental unit’s conditions of payment for such facility services. Payment from any other sources will be used to offset the amount of the purchasing governmental unit's obligation for such services rendered to publicly aided individuals. 101 CMR 347.00 does not cover professional services that are billed by a physician, dentist, or podiatrist separately from the surgery center and who receives no other compensation for the professional services rendered. Covered freestanding ambulatory surgery center services do not include services performed in a hospital-based facility or medical, dental, or podiatric surgical procedures that are customarily performed in an office setting.

(4) Disclaimer of Authorization of Services. 101 CMR 347.00 is not authorization for or approval of the procedures for which rates are determined pursuant to 101 CMR 347.00. Governmental units that purchase care are responsible for the definition, authorization, coverage policies, and approval of the care and services extended to publicly aided individuals.

(5) Coding Updates and Corrections. EOHHS may publish service code updates and corrections in the form of an administrative bulletin. Updates may reference coding systems including, but not limited to, the American Medical Association’s CPT 2025 Professional Edition. The publication of such updates and corrections will list: (a) codes for which the code numbers change, with the corresponding cross references between new codes and the codes being replaced. Rates for such new codes are set at the rate of the code that is being replaced; (b) deleted codes for which there are no corresponding new codes; (c) codes for entirely new services that require pricing. EOHHS will list these codes and apply individual consideration (IC) reimbursement for these codes until appropriate rates can be developed, unless 101 CMR 347.01(5)(d) is applied; and

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

2 (d) for entirely new codes that require new pricing and that have Medicare rates, EOHHS may list these codes and price them according to the rate methodology used in setting FASC facility component rates.

(6) Administrative Bulletins. EOHHS may issue administrative bulletins to add, delete, or otherwise update codes or modifiers, to clarify its policy on and understanding of substantive provisions of 101 CMR 347.00, and otherwise as specified in 101 CMR 347.00.

347.02 Definitions

347.02: Definitions

The terms used in 101 CMR 347.00 have the meanings set forth in 101 CMR 347.02, unless the context requires otherwise. The five-digit codes included in 101 CMR 347.00 utilize the Healthcare Common Procedural Coding System (HCPCS) for Level I and Level II coding. Level 1 CPT-4 codes are obtained from the American Medical Association’s CPT 2025 Professional Edition, unless otherwise specified. Level II codes are obtained from the 2025 HCPCS maintained jointly by the Centers for Medicare & Medicaid Services (CMS), the Blue Cross and Blue Shield Association, and the Health Insurance Association of America. HCPCS is a listing of descriptive terms and identifying codes and two-digit modifiers for reporting medical services and procedures performed by physicians and other healthcare professionals, as well as associated non-physician services. 101 CMR 347.00 includes only HCPCS numeric and alpha-numeric identifying codes and modifiers for reporting medical services and procedures that were selected by EOHHS. Any use of CPT outside the fee schedule should refer to the American Medical Association’s CPT 2025 Professional Edition. For code descriptions, see the FASC service code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding-ambulatory- surgery-center-services.

Eligible Provider. A licensed FASC that meets the conditions of participation adopted by a governmental unit, and to the extent specified by such governmental unit.

Facility Component. Rate of payment for a FASC’s facility costs. The facility component does not include payment for services from a physician, dentist, or podiatrist when performing a surgical procedure.

Freestanding Ambulatory Surgery Center (FASC). A distinct entity that operates exclusively for the purpose of providing surgical services that do not require the availability of hospital facilities, is licensed by the Massachusetts Department of Public Health (or, if out-of-state, the applicable licensing authority of that state), and meets the conditions for payment by the governmental unit for facility services.

Governmental Unit. The Commonwealth of Massachusetts or any of its departments, agencies, boards, commissions, or political subdivisions.

Individual Consideration (IC). Freestanding ambulatory surgery center services that are authorized but not listed in 101 CMR 347.00, FASC services performed in unusual circumstances, and services whose fees are designated by the letters "IC" are individually considered items. The governmental unit or purchaser analyzes the eligible provider’s operative report, which must contain a diagnosis, a pertinent medical history, a description of the services

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

3 rendered, and the length of time spent with the patient. In making the determination of whether the service is appropriately classified as an individually considered item, and in determining appropriate payment for services designated as IC, the governmental unit considers standards and criteria including the following, subject to any documentation requirements of the governmental unit: (a) policies, procedures, and practices of other third-party purchasers of care, both governmental and private; (b) the severity and complexity of the patient's disorder or disability; (c) prevailing provider ethics and accepted practice; and (d) time, degree of skill, and cost including equipment cost required to perform the procedure(s).

Modifiers. Listed services may be modified under certain circumstances. When applicable, the modifying circumstances must be identified by the addition of the appropriate two-digit number or letters to the service code.

Publicly Aided Individual. A person who receives health care and services for which a governmental unit is in whole or in part liable under a statutory program of public assistance.

Separate Procedure. Some of the listed procedures are commonly carried out as an integral part of a total service and as such, do not warrant a separate identification. When, however, such a procedure is performed independently of, and is not immediately related to, other services, it may be listed as a separate procedure in the service description. Thus, when a procedure that is ordinarily a component of a larger procedure is performed alone for a specific purpose, it may be considered to be a separate procedure.

347.03 General Rate Provisions and Payment

347.03: General Rate Provisions and Payment

(1) Rate Determination. Rates of payment for authorized FASC services to which 101 CMR 347.00 applies are the lowest of (a) the eligible provider's usual fee to the general public; (b) the eligible provider's actual charge submitted; and (c) the schedule of allowable rates set forth in 101 CMR 347.03(6).

(2) Maximum Allowable Rates. Rates of payment are for the facility component only. The maximum allowable payment rate for each FASC service is listed next to the HCPCS code in the fee schedule set forth in 101 CMR 347.03(6). Service codes listed in 101 CMR 347.03(6) with $0 rates are packaged services for which no separate payment is made.

(3) Individual Consideration and Non-listed Services. Rates of payment to eligible providers for FASC services that are authorized but not listed in 101 CMR 347.00, services performed in unusual circumstances, and services whose fees are designated by the letters “IC” are determined on an individual consideration basis.

(4) Terminated Procedures. The purchasing governmental unit determines payment on an individual consideration (IC) basis for any procedure that has been terminated after the procedure has been initiated.

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

4 (5) Modifiers. (a) 50: Bilateral Procedure. Unless otherwise identified in the listings, bilateral procedures that are performed at the same session should be identified by adding modifier 50 to the appropriate five-digit code. (Only one claim line is billed for both procedures. If a reimbursable surgical procedure provided in a single operative session is performed bilaterally, the full maximum fee is 150% of the allowable fee contained in 101 CMR 347.00 for the operative procedure.) (b) 51: Multiple Procedures. When multiple procedures, other than E/M services, physical medicine and rehabilitation services or provision of supplies (e.g., vaccines), are performed at the same session by the same individual, the primary procedure or services may be reported as listed. The additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). Note: This modifier should not be appended to designated “add-on” codes. (The addition of the modifier 51 to the second and subsequent service codes allows 50% of the allowable fee contained in 101 CMR 347.00 to be paid to the eligible provider.) (c) 73: Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia. Due to extenuating circumstances or those that threaten the well-being of the patient, the physician may cancel a surgical or diagnostic procedure subsequent to the patient’s surgical preparation (including sedation when provided, and being taken to the room where the procedure is to be performed), but prior to the administration of anesthesia (local, regional block(s), or general). Under these circumstances, the intended service that is prepared for, but cancelled, can be reported by its usual service code and the addition of the modifier 73. Note: The elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. (d) 74: Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia. Due to extenuating circumstances or those that threaten the well-being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (e.g., incision made, intubation started, scope inserted). Under these circumstances, the procedure started, but terminated, can be reported by its usual service code and the addition of the modifier 74. Note: The elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. (e) SG: Ambulatory surgical center (ASC) facility service (f) Modifiers for Provider Preventable Conditions. Modifiers for reporting “provider preventable conditions” that are National Coverage Determinations, in accordance with 42 CFR 447.26, are listed in 101 CMR 347.03(5)(e).

Modifier Description PA Surgical or other invasive procedure on wrong body part PB Surgical or other invasive procedure on wrong patient PC Wrong surgery or other invasive procedure on patient

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

5 (6) Fee Schedule: Surgical Services. For code descriptions, see the FASC service code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding-ambulatory-surgery-center-services.

Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 10004 $0.00

10005 $63.81

10006 $0.00

10007 $197.56

10008 $0.00

10009 $262.00

10010 $0.00

10011 $262.00

10012 $0.00

10021 $50.31

10030 $262.00

10035 $0.00

10036 $0.00

10040 $0.00

10060 $64.12

10061 $98.17

10080 $140.50

10081 $177.31

10120 $90.81

10121 $489.93

10140 $93.56

10160 $70.86

10180 $845.19

11000 $29.15

11001 $0.00

11010 $262.00 11011 $262.00 11012 $845.19 11042 $137.23 11043 $213.47 11044 $489.93 11045 $0.00 11046 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

6 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 11047 $0.00 11055 $0.00 11056 $0.00 11057 $49.39 11102 $64.42 11103 $0.00 11104 $75.05 11105 $0.00 11106 $98.78 11107 $0.00 11200 $0.00 11201 $0.00 11300 $0.00 11301 $0.00 11302 $0.00 11303 $0.00 11305 $0.00 11306 $0.00 11307 $75.05 11308 $0.00 11310 $73.63 11311 $75.05 11312 $94.49 11313 $104.61 11400 $78.53 11401 $89.57 11402 $97.86 11403 $106.14 11404 $489.93 11406 $489.93 11420 $75.46 11421 $88.66 11422 $98.17 11423 $106.45 11424 $489.93 11426 $845.19

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

7 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 11440 $86.20 11441 $96.93 11442 $104.92 11443 $116.26 11444 $489.93 11446 $845.19 11450 $845.19 11451 $845.19 11462 $845.19 11463 $845.19 11470 $845.19 11471 $845.19 11600 $115.65 11601 $128.84 11602 $137.23 11603 $149.09 11604 $262.00 11606 $489.93 11620 $115.96 11621 $129.15 11622 $140.19 11623 $153.99 11624 $489.93 11626 $845.19 11640 $119.33 11641 $133.14 11642 $145.72 11643 $159.52 11644 $489.93 11646 $845.19 11719 $0.00 11720 $0.00 11721 $0.00 11730 $0.00 11732 $0.00 11740 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

8 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 11750 $84.36 11755 $65.34 11760 $213.47 11762 $158.90 11765 $0.00 11770 $845.19 11771 $845.19 11772 $845.19 11900 $0.00 11901 $0.00 11920 $105.53 11921 $116.88 11922 $0.00 11950 $39.58 11951 $50.92 11952 $65.65 11954 $72.70 11960 $1,278.72 11970 $2,382.86 11971 $845.19 11976 $64.12 11980 $0.00 11981 $0.00 11982 $0.00 11983 $0.00 12001 $0.00 12002 $0.00 12004 $0.00 12005 $137.23 12006 $137.23 12007 $75.05 12011 $0.00 12013 $0.00 12014 $0.00 12015 $75.05 12016 $137.23

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

9 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 12017 $137.23 12018 $75.05 12020 $213.47 12021 $137.23 12031 $137.23 12032 $137.23 12034 $137.23 12035 $137.23 12036 $213.47 12037 $696.96 12041 $137.23 12042 $137.23 12044 $213.47 12045 $213.47 12046 $137.23 12047 $696.96 12051 $137.23 12052 $137.23 12053 $137.23 12054 $137.23 12055 $137.23 12056 $137.23 12057 $137.23 13100 $213.47 13101 $213.47 13102 $0.00 13120 $213.47 13121 $213.47 13122 $0.00 13131 $137.23 13132 $213.47 13133 $0.00 13151 $213.47 13152 $213.47 13153 $0.00 13160 $696.96

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

10 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 14000 $696.96 14001 $696.96 14020 $696.96 14021 $696.96 14040 $696.96 14041 $696.96 14060 $696.96 14061 $696.96 14301 $1,278.72 14302 $0.00 14350 $696.96 15002 $696.96 15003 $0.00 15004 $213.47 15005 $0.00 15011 $833.93 15012 $0.00 15013 $2,852.13 15014 $0.00 15015 $833.93 15016 $0.00 15017 $833.93 15018 $0.00

15040 $696.96 15050 $213.47 15100 $696.96 15101 $0.00 15110 $696.96 15111 $0.00 15115 $696.96 15116 $0.00 15120 $1,278.72 15121 $0.00 15130 $696.96 15131 $0.00 15135 $1,278.72

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

11 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 15136 $0.00 15150 $696.96 15151 $0.00 15152 $0.00 15155 $1,278.72 15156 $0.00 15157 $0.00 15200 $696.96 15201 $0.00 15220 $696.96 15221 $0.00 15240 $696.96 15241 $0.00 15260 $696.96 15261 $0.00 15271 $696.96 15272 $0.00 15273 $1,278.72 15274 $0.00 15275 $696.96 15276 $0.00 15277 $696.96 15278 $0.00 15570 $696.96 15572 $1,278.72 15574 $696.96 15576 $696.96 15600 $1,278.72 15610 $696.96 15620 $696.96 15630 $696.96 15650 $696.96 15730 $1,278.72 15731 $1,278.72 15733 $1,278.72 15734 $1,278.72

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

12 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 15736 $696.96 15738 $1,278.72 15740 $696.96 15750 $1,278.72 15760 $696.96 15769 $1,278.72 15770 $1,278.72 15771 $1,278.72 15773 $696.96 15775 $137.23 15776 $137.23 15777 $0.00 15780 $481.00 15781 $262.00 15782 $321.79 15783 $137.23 15786 $0.00 15787 $0.00 15788 $0.00 15789 $213.47 15792 $0.00 15793 $0.00 15820 $696.96 15821 $696.96 15822 $696.96 15823 $696.96 15824 $696.96 15825 $1,278.72 15826 $1,278.72 15828 $1,278.72 15829 $1,278.72 15830 $1,864.28 15832 $845.19 15833 $845.19 15834 $845.19 15835 $845.19

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

13 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 15836 $845.19 15837 $845.19 15838 $845.19 15839 $845.19 15840 $1,278.72 15841 $1,278.72 15842 $696.96 15845 $1,278.72 15847 $0.00 15851 $213.47 15852 $0.00 15860 $0.00 15876 $1,278.72 15877 $1,278.72 15878 $696.96 15879 $1,278.72 15920 $845.19 15922 $1,278.72 15931 $845.19 15933 $845.19 15934 $1,278.72 15935 $1,278.72 15936 $696.96 15937 $696.96 15940 $845.19 15941 $845.19 15944 $1,278.72 15945 $696.96 15946 $696.96 15950 $489.93 15951 $845.19 15952 $696.96 15953 $1,278.72 15956 $696.96 15958 $1,278.72 16000 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

14 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 16020 $0.00 16025 $75.05 16030 $137.23 16035 $137.23 17000 $0.00 17003 $0.00 17004 $91.72 17106 $137.23 17107 $213.47 17108 $300.32 17110 $0.00 17111 $0.00 17250 $0.00 17260 $0.00 17261 $0.00 17262 $0.00 17263 $0.00 17264 $112.28 17266 $123.62 17270 $75.05 17271 $75.05 17272 $0.00 17273 $110.74 17274 $124.85 17276 $137.23 17280 $0.00 17281 $96.02 17282 $107.98 17283 $122.09 17284 $134.67 17286 $160.44 17311 $213.47 17312 $0.00 17313 $213.47 17314 $0.00 17315 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

15 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 17340 $0.00 17360 $0.00 17380 $213.47 19000 $66.26 19001 $0.00 19020 $489.93 19030 $0.00 19081 $489.93 19082 $0.00 19083 $489.93 19084 $0.00 19085 $489.93 19086 $0.00 19100 $489.93 19101 $950.67 19105 $950.67 19110 $950.67 19112 $950.67 19120 $950.67 19125 $950.67 19126 $0.00 19281 $0.00 19282 $0.00 19283 $0.00 19284 $0.00 19285 $0.00 19286 $0.00 19287 $0.00 19288 $0.00 19294 $0.00 19296 $3,549.47 19297 $0.00 19298 $1,864.28 19300 $950.67 19301 $950.67 19302 $1,864.28

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

16 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 19303 $1,864.28 19307 $2,047.63 19316 $1,864.28 19318 $1,864.28 19325 $2,277.55 19328 $950.67 19330 $950.67 19340 $1,864.28 19342 $2,277.55 19350 $950.67 19355 $950.67 19357 $3,981.15 19370 $950.67 19371 $950.67 19380 $1,864.28 19396 $950.67 20103 $262.00 20150 $1,093.32 20200 $489.93 20205 $845.19 20206 $489.93 20220 $489.93 20225 $489.93 20240 $845.19 20245 $845.19 20250 $1,093.32 20251 $2,382.86 20500 $56.44 20501 $0.00 20520 $118.10 20525 $845.19 20526 $35.28 20527 $38.34 20550 $22.08 20551 $23.32 20552 $25.77

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

17 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 20553 $30.06 20555 $1,093.32 20600 $21.17 20604 $36.51 20605 $22.08 20606 $39.58 20610 $26.38 20611 $44.48 20612 $29.76 20615 $137.73 20650 $1,093.32 20662 $606.05 20663 $1,093.32 20665 $156.16 20670 $489.93 20680 $845.19 20690 $3,192.86 20692 $6,917.51 20693 $2,382.86 20694 $606.05 20696 $10,090.37 20697 $606.05 20700 $0.00 20822 $606.05 20900 $2,382.86 20902 $2,382.86 20910 $213.47 20912 $1,278.72 20920 $696.96 20922 $696.96 20924 $2,382.86 20930 $0.00 20931 $0.00 20932 $0.00 20933 $0.00 20934 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

18 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 20936 $0.00 20937 $0.00 20938 $0.00 20939 $0.00 20950 $262.00 20972 $2,382.86 20973 $2,382.86 20975 $0.00 20979 $0.00 20982 $2,382.86 20983 $3,226.69 20985 $0.00 21010 $896.80 21011 $210.13 21012 $489.93 21013 $271.79 21014 $845.19 21015 $845.19 21016 $845.19 21025 $1,909.57 21026 $1,909.57 21029 $896.80 21030 $266.88 21031 $230.68 21032 $229.46 21034 $1,909.57 21040 $896.80 21044 $1,909.57 21046 $1,909.57 21047 $1,909.57 21048 $1,909.57 21050 $1,909.57 21060 $1,909.57 21070 $1,909.57 21073 $218.72 21076 $346.94

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

19 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 21077 $842.06 21079 $594.20 21080 $693.59 21081 $642.97 21082 $607.08 21083 $598.49 21084 $671.19 21085 $87.46 21086 $633.16 21087 $633.16 21088 $896.80 21100 $1,909.57 21110 $456.11 21116 $0.00 21120 $1,909.57 21121 $896.80 21122 $1,909.57 21123 $896.80 21125 $1,909.57 21127 $1,909.57 21137 $896.80 21138 $1,909.57 21139 $1,909.57 21150 $1,909.57 21181 $1,909.57 21194 $2,346.70 21195 $2,955.42 21198 $1,909.57 21199 $1,909.57 21206 $1,909.57 21208 $2,504.67 21209 $1,909.57 21210 $1,909.57 21215 $1,909.57 21230 $1,909.57 21235 $1,909.57

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

20 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 21240 $1,909.57 21242 $1,909.57 21243 $10,292.37 21244 $1,909.57 21245 $1,909.57 21246 $1,909.57 21248 $1,909.57 21249 $1,909.57 21260 $1,909.57 21267 $1,909.57 21270 $1,909.57 21275 $1,909.57 21280 $896.80 21282 $896.80 21295 $456.11 21296 $896.80 21315 $456.11 21320 $896.80 21325 $896.80 21330 $1,909.57 21335 $896.80 21336 $1,093.32 21337 $896.80 21338 $2,787.92 21339 $1,909.57 21340 $896.80 21345 $456.11 21355 $896.80 21356 $1,909.57 21360 $1,909.57 21365 $2,703.14 21390 $1,909.57 21400 $189.71 21401 $456.11 21406 $1,909.57 21407 $1,909.57

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

21 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 21421 $896.80 21440 $433.76 21445 $1,909.57 21450 $189.71 21451 $456.11 21452 $1,909.57 21453 $1,909.57 21454 $1,909.57 21461 $2,680.59 21462 $2,625.26 21465 $1,909.57 21480 $92.62 21485 $456.11 21490 $896.80 21497 $456.11 21501 $845.19 21502 $1,093.32 21550 $489.93 21552 $845.19 21554 $845.19 21555 $489.93 21556 $845.19 21557 $845.19 21558 $845.19 21600 $2,382.86 21610 $1,093.32 21685 $1,909.57 21700 $2,382.86 21720 $1,093.32 21725 $262.00 21820 $92.62 21920 $151.23 21925 $489.93 21930 $489.93 21931 $489.93 21932 $845.19

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

22 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 21933 $845.19 21935 $845.19 21936 $845.19 22102 $2,382.86 22103 $0.00 22310 $92.62 22315 $1,093.32 22505 $606.05 22510 $1,093.32 22511 $1,093.32 22512 $0.00 22513 $2,382.86 22514 $2,382.86 22515 $0.00 22551 $7,156.77 22552 $0.00 22554 $7,162.97 22585 $0.00 22612 $7,316.44 22614 $0.00 22840 $0.00 22842 $0.00 22845 $0.00 22853 $0.00 22854 $0.00 22856 $10,035.74 22858 $0.00 22859 $0.00 22867 $10,408.62 22868 $0.00 22869 $8,393.60 22870 $0.00 22900 $845.19 22901 $845.19 22902 $489.93 22903 $845.19

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

23 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 22904 $845.19 22905 $845.19 23000 $845.19 23020 $1,093.32 23030 $845.19 23031 $845.19 23035 $606.05 23040 $1,093.32 23044 $1,093.32 23065 $115.65 23066 $845.19 23071 $489.93 23073 $845.19 23075 $489.93 23076 $845.19 23077 $845.19 23078 $845.19 23100 $1,093.32 23101 $1,093.32 23105 $2,382.86 23106 $1,093.32 23107 $2,382.86 23120 $1,093.32 23125 $1,093.32 23130 $1,093.32 23140 $1,093.32 23145 $1,093.32 23146 $2,382.86 23150 $1,093.32 23155 $2,382.86 23156 $3,690.96 23170 $1,093.32 23172 $1,093.32 23174 $2,382.86 23180 $2,382.86 23182 $2,382.86

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

24 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 23184 $2,382.86 23190 $1,093.32 23195 $2,382.86 23330 $262.00 23333 $845.19 23334 $845.19 23350 $0.00 23395 $2,382.86 23397 $2,382.86 23400 $2,382.86 23405 $2,382.86 23406 $3,415.90 23410 $2,382.86 23412 $2,382.86 23415 $2,382.86 23420 $2,382.86 23430 $2,382.86 23440 $2,382.86 23450 $2,382.86 23455 $2,382.86 23460 $2,382.86 23462 $2,382.86 23465 $2,382.86 23466 $2,382.86 23470 $7,905.51 23472 $11,893.40 23480 $2,382.86 23485 $6,679.21 23490 $2,382.86 23491 $6,804.08 23500 $92.62 23505 $606.05 23515 $3,269.86 23520 $606.05 23525 $92.62 23530 $2,382.86

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

25 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 23532 $2,382.86 23540 $92.62 23545 $92.62 23550 $2,382.86 23552 $3,248.86 23570 $92.62 23575 $606.05 23585 $2,382.86 23600 $92.62 23605 $606.05 23615 $7,046.20 23616 $9,920.13 23620 $92.62 23625 $606.05 23630 $3,150.64 23650 $92.62 23655 $606.05 23660 $2,382.86 23665 $606.05 23670 $2,382.86 23675 $606.05 23680 $7,116.26 23700 $606.05 23800 $2,382.86 23802 $4,868.06 23921 $696.96 23930 $845.19 23931 $489.93 23935 $1,093.32 24000 $1,093.32 24006 $1,093.32 24065 $153.38 24066 $845.19 24071 $845.19 24073 $845.19 24075 $489.93

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

26 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 24076 $845.19 24077 $845.19 24079 $845.19 24100 $1,093.32 24101 $1,093.32 24102 $1,093.32 24105 $1,093.32 24110 $1,093.32 24115 $2,382.86 24116 $2,382.86 24120 $1,093.32 24125 $1,093.32 24126 $3,631.00 24130 $1,093.32 24134 $2,382.86 24136 $1,093.32 24138 $2,382.86 24140 $1,093.32 24145 $2,382.86 24147 $1,093.32 24149 $2,382.86 24152 $2,382.86 24155 $1,093.32 24160 $1,093.32 24164 $1,093.32 24200 $125.16 24201 $845.19 24220 $0.00 24300 $606.05 24301 $2,382.86 24305 $1,093.32 24310 $1,093.32 24320 $2,382.86 24330 $2,382.86 24331 $2,382.86 24332 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

27 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 24340 $2,382.86 24341 $2,382.86 24342 $2,382.86 24343 $1,093.32 24344 $2,382.86 24345 $2,382.86 24346 $4,868.06 24357 $1,093.32 24358 $1,093.32 24359 $1,093.32 24360 $2,382.86 24361 $10,381.94 24362 $4,868.06 24363 $10,374.32 24365 $7,298.81 24366 $7,759.69 24370 $7,168.21 24371 $9,297.61 24400 $2,382.86 24410 $4,868.06 24420 $2,382.86 24430 $6,820.76 24435 $6,869.84 24470 $1,093.32 24495 $2,382.86 24498 $6,725.91 24500 $92.62 24505 $606.05 24515 $6,643.46 24516 $6,738.30 24530 $92.62 24535 $606.05 24538 $2,382.86 24545 $6,974.71 24546 $9,323.66 24560 $92.62

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

28 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 24565 $606.05 24566 $606.05 24575 $6,300.77 24576 $92.62 24577 $606.05 24579 $6,408.48 24582 $2,382.86 24586 $4,868.06 24587 $7,021.42 24600 $92.62 24605 $606.05 24615 $2,382.86 24620 $606.05 24635 $3,325.62 24640 $47.55 24650 $92.62 24655 $606.05 24665 $2,382.86 24666 $7,720.13 24670 $92.62 24675 $606.05 24685 $3,130.81 24800 $2,382.86 24802 $4,868.06 24925 $1,093.32 25000 $606.05 25001 $1,093.32 25020 $606.05 25023 $1,093.32 25024 $1,093.32 25025 $606.05 25028 $1,093.32 25031 $606.05 25035 $2,382.86 25040 $1,093.32 25065 $155.22

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

29 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 25066 $845.19 25071 $489.93 25073 $845.19 25075 $489.93 25076 $489.93 25077 $845.19 25078 $845.19 25085 $1,093.32 25100 $1,093.32 25101 $1,093.32 25105 $1,093.32 25107 $1,093.32 25109 $1,093.32 25110 $606.05 25111 $606.05 25112 $606.05 25115 $606.05 25116 $1,093.32 25118 $606.05 25119 $1,093.32 25120 $1,093.32 25125 $606.05 25126 $1,093.32 25130 $1,093.32 25135 $2,382.86 25136 $3,156.93 25145 $1,093.32 25150 $1,093.32 25151 $1,093.32 25210 $1,093.32 25215 $1,093.32 25230 $1,093.32 25240 $1,093.32 25246 $0.00 25248 $606.05 25250 $606.05

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

30 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 25251 $1,093.32 25259 $606.05 25260 $1,093.32 25263 $2,382.86 25265 $1,093.32 25270 $1,093.32 25272 $1,093.32 25274 $1,093.32 25275 $1,093.32 25280 $1,093.32 25290 $1,093.32 25295 $1,093.32 25300 $1,093.32 25301 $1,093.32 25310 $1,093.32 25312 $1,093.32 25315 $2,382.86 25316 $2,382.86 25320 $2,382.86 25332 $1,093.32 25335 $1,093.32 25337 $2,382.86 25350 $3,691.42 25355 $1,093.32 25360 $2,382.86 25365 $4,868.06 25370 $1,093.32 25375 $1,093.32 25390 $3,355.01 25391 $6,834.58 25392 $2,382.86 25393 $2,382.86 25394 $1,093.32 25400 $3,361.31 25405 $3,323.75 25415 $3,439.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

31 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 25420 $2,382.86 25425 $2,382.86 25426 $1,093.32 25430 $1,093.32 25431 $2,382.86 25440 $2,382.86 25441 $7,937.47 25442 $10,861.53 25443 $3,322.34 25444 $8,002.77 25445 $3,357.34 25446 $10,925.06 25447 $1,093.32 25448 $1,342.29 25449 $2,382.86 25450 $1,093.32 25455 $1,093.32 25490 $2,382.86 25491 $4,868.06 25492 $1,093.32 25500 $92.62 25505 $606.05 25515 $3,198.47 25520 $606.05 25525 $2,382.86 25526 $3,167.44 25530 $92.62 25535 $92.62 25545 $3,137.34 25560 $92.62 25565 $606.05 25574 $3,374.37 25575 $3,280.82 25600 $92.62 25605 $606.05 25606 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

32 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 25607 $3,431.54 25608 $3,416.84 25609 $3,430.83 25622 $92.62 25624 $606.05 25628 $2,382.86 25630 $92.62 25635 $606.05 25645 $1,093.32 25650 $92.62 25651 $1,093.32 25652 $2,382.86 25660 $92.62 25670 $2,382.86 25671 $1,093.32 25675 $92.62 25676 $2,382.86 25680 $92.62 25685 $2,382.86 25690 $606.05 25695 $2,382.86 25800 $3,465.13 25805 $3,445.53 25810 $6,760.23 25820 $3,239.06 25825 $3,220.40 25830 $3,157.87 25907 $1,093.32 25922 $606.05 25929 $696.96 25931 $1,093.32 26010 $75.05 26011 $489.93 26020 $1,093.32 26025 $1,093.32 26030 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

33 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 26034 $606.05 26035 $1,093.32 26037 $1,093.32 26040 $606.05 26045 $1,093.32 26055 $606.05 26060 $606.05 26070 $606.05 26075 $1,093.32 26080 $606.05 26100 $1,093.32 26105 $1,093.32 26110 $606.05 26111 $489.93 26113 $489.93 26115 $489.93 26116 $489.93 26117 $845.19 26118 $845.19 26121 $1,093.32 26123 $1,093.32 26125 $0.00 26130 $1,093.32 26135 $1,093.32 26140 $606.05 26145 $606.05 26160 $606.05 26170 $606.05 26180 $606.05 26185 $606.05 26200 $606.05 26205 $2,382.86 26210 $606.05 26215 $1,093.32 26230 $1,093.32 26235 $606.05

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

34 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 26236 $606.05 26250 $1,093.32 26260 $1,093.32 26262 $606.05 26320 $489.93 26340 $606.05 26341 $60.74 26350 $1,093.32 26352 $2,382.86 26356 $1,093.32 26357 $1,093.32 26358 $2,382.86 26370 $1,093.32 26372 $2,382.86 26373 $1,093.32 26390 $3,161.84 26392 $2,382.86 26410 $606.05 26412 $1,093.32 26415 $1,093.32 26416 $1,093.32 26418 $606.05 26420 $1,093.32 26426 $1,093.32 26428 $1,093.32 26432 $606.05 26433 $1,093.32 26434 $1,093.32 26437 $1,093.32 26440 $606.05 26442 $1,093.32 26445 $1,093.32 26449 $1,093.32 26450 $1,093.32 26455 $606.05 26460 $606.05

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

35 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 26471 $1,093.32 26474 $606.05 26476 $1,093.32 26477 $1,093.32 26478 $1,093.32 26479 $1,093.32 26480 $1,093.32 26483 $1,093.32 26485 $1,093.32 26489 $1,093.32 26490 $1,093.32 26492 $1,093.32 26494 $1,093.32 26496 $1,093.32 26497 $1,093.32 26498 $1,093.32 26499 $1,093.32 26500 $2,382.86 26502 $1,093.32 26508 $1,093.32 26510 $1,093.32 26516 $1,093.32 26517 $1,093.32 26518 $2,382.86 26520 $1,093.32 26525 $606.05 26530 $2,382.86 26531 $3,418.00 26535 $1,093.32 26536 $3,162.77 26540 $1,093.32 26541 $1,093.32 26542 $1,093.32 26545 $1,093.32 26546 $2,382.86 26548 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

36 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 26550 $1,093.32 26555 $2,382.86 26560 $606.05 26561 $1,093.32 26562 $1,093.32 26565 $1,093.32 26567 $1,093.32 26568 $2,382.86 26580 $1,093.32 26587 $1,093.32 26590 $606.05 26591 $1,093.32 26593 $1,093.32 26596 $1,093.32 26600 $92.62 26605 $92.62 26607 $1,093.32 26608 $1,093.32 26615 $1,093.32 26641 $92.62 26645 $606.05 26650 $1,093.32 26665 $1,093.32 26670 $92.62 26675 $606.05 26676 $1,093.32 26685 $1,093.32 26686 $1,093.32 26700 $92.62 26705 $606.05 26706 $1,093.32 26715 $1,093.32 26720 $92.62 26725 $92.62 26727 $1,093.32 26735 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

37 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 26740 $92.62 26742 $606.05 26746 $1,093.32 26750 $92.62 26755 $92.62 26756 $1,093.32 26765 $1,093.32 26770 $92.62 26775 $98.70 26776 $1,093.32 26785 $1,093.32 26820 $3,267.76 26841 $2,382.86 26842 $2,382.86 26843 $2,382.86 26844 $2,382.86 26850 $2,382.86 26852 $2,382.86 26860 $1,093.32 26861 $0.00 26862 $1,093.32 26863 $0.00 26910 $1,093.32 26951 $1,093.32 26952 $1,093.32 26990 $1,093.32 26991 $606.05 27000 $606.05 27001 $1,093.32 27003 $2,382.86 27006 $1,291.08 27033 $2,382.86 27035 $1,093.32 27040 $489.93 27041 $489.93 27043 $845.19

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

38 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27045 $845.19 27047 $845.19 27048 $845.19 27049 $845.19 27050 $606.05 27052 $606.05 27059 $845.19 27060 $2,382.86 27062 $1,093.32 27065 $2,382.86 27066 $1,093.32 27067 $2,382.86 27080 $1,093.32 27086 $489.93 27087 $1,093.32 27093 $0.00 27095 $0.00 27097 $1,093.32 27098 $1,093.32 27100 $2,382.86 27105 $1,093.32 27110 $2,382.86 27111 $1,093.32 27130 $7,671.16 27197 $92.62 27198 $92.62 27200 $92.62 27202 $1,093.32 27220 $92.62 27230 $92.62 27238 $606.05 27246 $92.62 27250 $92.62 27252 $606.05 27256 $92.62 27257 $606.05

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

39 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27265 $92.62 27266 $606.05 27267 $1,093.32 27275 $606.05 27278 $9,931.60 27279 $11,034.95 27301 $845.19 27305 $1,093.32 27306 $1,093.32 27307 $1,093.32 27310 $1,093.32 27323 $489.93 27324 $845.19 27325 $677.27 27326 $677.27 27327 $489.93 27328 $845.19 27329 $845.19 27330 $1,093.32 27331 $1,093.32 27332 $1,093.32 27333 $1,093.32 27334 $1,093.32 27335 $2,382.86 27337 $845.19 27339 $845.19 27340 $1,093.32 27345 $1,093.32 27347 $1,093.32 27350 $2,382.86 27355 $1,093.32 27356 $4,868.06 27357 $2,382.86 27358 $0.00 27360 $1,093.32 27364 $845.19

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

40 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27369 $0.00 27372 $845.19 27380 $2,382.86 27381 $2,382.86 27385 $2,382.86 27386 $2,382.86 27390 $1,093.32 27391 $1,093.32 27392 $1,093.32 27393 $2,382.86 27394 $2,382.86 27395 $1,093.32 27396 $2,382.86 27397 $2,382.86 27400 $2,382.86 27403 $3,148.08 27405 $2,382.86 27407 $2,382.86 27409 $2,382.86 27412 $4,088.71 27415 $7,998.96 27416 $2,382.86 27418 $2,382.86 27420 $2,382.86 27422 $2,382.86 27424 $2,382.86 27425 $1,093.32 27427 $3,086.25 27428 $6,559.57 27429 $8,596.64 27430 $2,382.86 27435 $1,093.32 27437 $2,382.86 27438 $6,686.36 27440 $7,190.13 27441 $4,868.06

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

41 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27442 $7,203.95 27443 $7,026.66 27446 $7,149.15 27447 $7,318.35 27475 $2,382.86 27479 $2,382.86 27496 $1,093.32 27497 $1,093.32 27498 $606.05 27499 $2,382.86 27500 $92.62 27501 $92.62 27502 $606.05 27503 $606.05 27508 $92.62 27509 $2,382.86 27510 $606.05 27516 $92.62 27517 $606.05 27520 $92.62 27524 $2,382.86 27530 $92.62 27532 $1,093.32 27538 $92.62 27550 $92.62 27552 $606.05 27560 $92.62 27562 $92.62 27566 $2,382.86 27570 $606.05 27594 $1,093.32 27600 $1,093.32 27601 $1,093.32 27602 $1,093.32 27603 $845.19 27604 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

42 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27605 $606.05 27606 $1,093.32 27607 $1,093.32 27610 $1,093.32 27612 $1,093.32 27613 $144.79 27614 $845.19 27615 $845.19 27616 $845.19 27618 $489.93 27619 $845.19 27620 $1,093.32 27625 $1,093.32 27626 $1,093.32 27630 $1,093.32 27632 $845.19 27634 $845.19 27635 $1,093.32 27637 $2,382.86 27638 $2,382.86 27640 $1,093.32 27641 $1,093.32 27647 $1,093.32 27648 $0.00 27650 $2,382.86 27652 $2,382.86 27654 $2,382.86 27656 $1,093.32 27658 $1,093.32 27659 $2,382.86 27664 $2,382.86 27665 $2,382.86 27675 $1,093.32 27676 $2,382.86 27680 $1,093.32 27681 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

43 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27685 $1,093.32 27686 $1,093.32 27687 $1,093.32 27690 $2,382.86 27691 $2,382.86 27692 $0.00 27695 $2,382.86 27696 $2,382.86 27698 $2,382.86 27700 $2,382.86 27702 $12,286.69 27704 $1,093.32 27705 $3,432.00 27707 $1,093.32 27709 $4,868.06 27720 $3,270.55 27726 $3,331.68 27730 $1,093.32 27732 $1,093.32 27734 $1,093.32 27740 $1,093.32 27742 $1,093.32 27745 $3,319.55 27750 $92.62 27752 $606.05 27756 $3,481.46 27758 $6,878.91 27759 $6,791.69 27760 $92.62 27762 $606.05 27766 $2,382.86 27767 $92.62 27768 $606.05 27769 $2,382.86 27780 $92.62 27781 $606.05

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

44 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 27784 $2,382.86 27786 $92.62 27788 $92.62 27792 $3,149.24 27808 $92.62 27810 $606.05 27814 $3,199.16 27816 $92.62 27818 $606.05 27822 $3,185.63 27823 $3,175.14 27824 $92.62 27825 $606.05 27826 $3,328.41 27827 $6,814.56 27828 $6,933.71 27829 $2,382.86 27830 $92.62 27831 $1,093.32 27832 $2,382.86 27840 $92.62 27842 $606.05 27846 $2,382.86 27848 $3,510.39 27860 $1,093.32 27870 $7,181.08 27871 $6,920.84 27884 $1,093.32 27889 $2,382.86 27892 $1,093.32 27893 $2,382.86 27894 $1,093.32 28001 $153.69 28002 $606.05 28003 $1,093.32 28005 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

45 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 28008 $1,093.32 28010 $105.83 28011 $606.05 28020 $1,093.32 28022 $1,093.32 28024 $606.05 28035 $677.27 28039 $845.19 28041 $845.19 28043 $489.93 28045 $845.19 28046 $845.19 28047 $845.19 28050 $1,093.32 28052 $1,093.32 28054 $1,093.32 28055 $677.27 28060 $1,093.32 28062 $1,093.32 28070 $2,382.86 28072 $1,093.32 28080 $606.05 28086 $1,093.32 28088 $1,093.32 28090 $606.05 28092 $606.05 28100 $1,093.32 28102 $2,382.86 28103 $2,382.86 28104 $1,093.32 28106 $2,382.86 28107 $2,382.86 28108 $606.05 28110 $1,093.32 28111 $1,093.32 28112 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

46 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 28113 $1,093.32 28114 $1,093.32 28116 $1,093.32 28118 $1,093.32 28119 $1,093.32 28120 $1,093.32 28122 $1,093.32 28124 $256.45 28126 $1,093.32 28130 $3,556.11 28140 $1,093.32 28150 $1,093.32 28153 $1,093.32 28160 $1,093.32 28171 $1,093.32 28173 $1,093.32 28175 $606.05 28190 $154.91 28192 $489.93 28193 $489.93 28200 $1,093.32 28202 $2,382.86 28208 $1,093.32 28210 $2,382.86 28220 $242.34 28222 $1,093.32 28225 $1,093.32 28226 $1,093.32 28230 $238.97 28232 $223.01 28234 $606.05 28238 $2,382.86 28240 $1,093.32 28250 $1,093.32 28260 $1,093.32 28261 $606.05

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

47 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 28262 $3,768.88 28264 $606.05 28270 $1,093.32 28272 $215.35 28280 $1,093.32 28285 $1,093.32 28286 $1,093.32 28288 $1,093.32 28289 $1,093.32 28291 $3,655.50 28292 $1,093.32 28295 $1,093.32 28296 $1,093.32 28297 $3,417.77 28298 $2,382.86 28299 $2,382.86 28300 $3,187.03 28302 $2,382.86 28304 $2,382.86 28305 $3,431.54 28306 $2,382.86 28307 $2,382.86 28308 $1,093.32 28309 $2,382.86 28310 $2,382.86 28312 $1,093.32 28313 $1,093.32 28315 $1,093.32 28320 $7,546.16 28322 $3,250.26 28340 $1,093.32 28341 $1,093.32 28344 $1,093.32 28345 $606.05 28400 $92.62 28405 $92.62

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

48 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 28406 $2,382.86 28415 $3,293.66 28420 $7,012.84 28430 $92.62 28435 $606.05 28436 $2,382.86 28445 $3,092.08 28446 $2,382.86 28450 $92.62 28455 $142.65 28456 $2,382.86 28465 $3,256.55 28470 $92.62 28475 $92.62 28476 $1,093.32 28485 $3,172.11 28490 $84.06 28495 $92.62 28496 $1,093.32 28505 $1,093.32 28510 $66.56 28515 $89.88 28525 $1,093.32 28530 $63.81 28531 $2,382.86 28540 $92.62 28545 $1,093.32 28546 $606.05 28555 $2,382.86 28570 $92.62 28575 $1,093.32 28576 $2,382.86 28585 $3,514.35 28600 $92.62 28605 $92.62 28606 $1,093.32

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

49 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 28615 $3,107.24 28630 $75.77 28635 $606.05 28636 $1,093.32 28645 $1,093.32 28660 $58.59 28665 $98.70 28666 $1,093.32 28675 $1,093.32 28705 $9,842.00 28715 $7,512.80 28725 $6,900.83 28730 $7,424.63 28735 $7,498.98 28737 $7,128.65 28740 $3,522.99 28750 $3,458.36 28755 $2,382.86 28760 $2,382.86 28810 $1,093.32 28820 $1,093.32 28825 $1,093.32 28890 $166.57 29000 $98.70 29010 $98.70 29015 $98.70 29035 $98.70 29040 $98.70 29044 $57.44 29046 $98.70 29049 $52.76 29055 $98.70 29058 $59.20 29065 $51.23 29075 $46.94 29085 $50.92

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

50 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 29086 $46.33 29105 $42.33 29125 $0.00 29126 $0.00 29130 $0.00 29131 $0.00 29200 $15.95 29240 $0.00 29260 $0.00 29280 $0.00 29305 $98.70 29325 $98.70 29345 $66.88 29355 $68.10 29358 $85.89 29365 $63.19 29405 $41.11 29425 $38.65 29435 $57.06 29440 $18.71 29445 $52.76 29450 $55.52 29505 $49.39 29515 $35.89 29520 $0.00 29530 $0.00 29540 $11.96 29550 $0.00 29580 $35.89 29581 $57.44 29584 $57.44 29700 $34.36 29705 $29.15 29710 $57.37 29720 $48.16 29730 $27.61

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

51 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 29740 $45.09 29750 $47.24 29800 $1,093.32 29804 $1,093.32 29805 $1,093.32 29806 $2,382.86 29807 $2,382.86 29819 $1,093.32 29820 $2,382.86 29821 $1,093.32 29822 $1,093.32 29823 $1,093.32 29824 $1,093.32 29825 $1,093.32 29826 $0.00 29827 $2,382.86 29828 $2,382.86 29830 $1,093.32 29834 $1,093.32 29835 $1,093.32 29836 $2,382.86 29837 $1,093.32 29838 $1,093.32 29840 $1,093.32 29843 $1,093.32 29844 $1,093.32 29845 $1,093.32 29846 $1,093.32 29847 $2,382.86 29848 $606.05 29850 $606.05 29851 $606.05 29855 $3,657.36 29856 $6,666.81 29860 $2,382.86 29861 $2,382.86

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

52 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 29862 $2,382.86 29863 $1,093.32 29866 $2,382.86 29867 $7,212.54 29868 $2,883.98 29870 $1,093.32 29871 $1,093.32 29873 $1,093.32 29874 $1,093.32 29875 $1,093.32 29876 $1,093.32 29877 $1,093.32 29879 $1,093.32 29880 $1,093.32 29881 $1,093.32 29882 $1,093.32 29883 $1,093.32 29884 $1,093.32 29885 $2,382.86 29886 $1,093.32 29887 $2,382.86 29888 $3,292.25 29889 $6,512.39 29891 $1,093.32 29892 $2,382.86 29893 $1,093.32 29894 $1,093.32 29895 $1,093.32 29897 $1,093.32 29898 $1,093.32 29899 $3,089.51 29900 $1,093.32 29901 $1,093.32 29902 $606.05 29904 $1,093.32 29905 $2,382.86

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

53 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 29906 $1,093.32 29907 $6,682.54 29914 $2,382.86 29915 $2,382.86 29916 $2,382.86 30000 $87.46 30020 $170.26 30100 $91.11 30110 $150.31 30115 $896.80 30117 $896.80 30118 $896.80 30120 $896.80 30124 $456.11 30125 $1,909.57 30130 $896.80 30140 $896.80 30150 $1,909.57 30160 $1,909.57 30200 $70.25 30210 $90.81 30220 $456.11 30300 $0.00 30310 $896.80 30320 $456.11 30400 $1,909.57 30410 $1,909.57 30420 $1,909.57 30430 $1,909.57 30435 $1,909.57 30450 $1,909.57 30460 $1,909.57 30462 $1,909.57 30465 $1,909.57 30468 $2,956.50 30469 $2,785.37

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

54 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 30520 $896.80 30540 $1,909.57 30545 $1,909.57 30560 $189.71 30580 $1,909.57 30600 $1,909.57 30620 $1,909.57 30630 $896.80 30801 $456.11 30802 $456.11 30901 $0.00 30903 $46.83 30905 $46.83 30906 $87.46 30915 $1,140.05 30920 $1,140.05 30930 $896.80 31000 $87.46 31002 $456.11 31020 $896.80 31030 $1,909.57 31032 $1,909.57 31040 $1,909.57 31050 $1,909.57 31051 $1,909.57 31070 $1,909.57 31075 $1,909.57 31080 $1,909.57 31081 $1,909.57 31084 $1,909.57 31085 $1,909.57 31086 $1,909.57 31087 $1,909.57 31090 $1,909.57 31200 $1,909.57 31201 $456.11

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

55 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 31205 $896.80 31231 $67.24 31233 $162.31 31235 $519.94 31237 $519.94 31238 $519.94 31239 $1,052.05 31240 $519.94 31242 $2,955.42 31243 $3,478.68 31253 $1,611.51 31254 $1,611.51 31255 $1,611.51 31256 $1,052.05 31257 $1,611.51 31259 $1,611.51 31267 $1,611.51 31276 $1,611.51 31287 $1,611.51 31288 $1,611.51 31295 $1,548.22 31296 $1,556.51 31297 $1,544.24 31298 $1,611.51 31300 $896.80 31400 $1,909.57 31420 $1,909.57 31500 $87.46 31502 $87.46 31505 $54.60 31510 $1,052.05 31511 $67.24 31512 $1,052.05 31513 $162.31 31515 $162.31 31520 $162.31

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

56 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 31525 $519.94 31526 $519.94 31527 $1,052.05 31528 $1,052.05 31529 $1,052.05 31530 $519.94 31531 $1,052.05 31535 $1,052.05 31536 $1,052.05 31540 $1,052.05 31541 $1,052.05 31545 $1,052.05 31546 $1,611.51 31551 $1,909.57 31552 $1,909.57 31553 $1,909.57 31554 $1,909.57 31560 $1,611.51 31561 $1,611.51 31570 $1,052.05 31571 $1,052.05 31572 $1,052.05 31573 $155.52 31574 $519.94 31575 $67.24 31576 $519.94 31577 $162.31 31578 $1,052.05 31579 $101.85 31580 $1,909.57 31590 $1,909.57 31591 $1,909.57 31592 $1,909.57 31603 $456.11 31605 $87.46 31611 $896.80

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

57 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 31612 $896.80 31613 $896.80 31614 $1,909.57 31615 $189.71 31622 $519.94 31623 $519.94 31624 $519.94 31625 $519.94 31626 $1,611.51 31627 $0.00 31628 $1,052.05 31629 $1,052.05 31630 $1,052.05 31631 $1,611.51 31632 $0.00 31633 $0.00 31634 $1,611.51 31635 $519.94 31636 $2,358.10 31637 $0.00 31638 $1,611.51 31640 $1,052.05 31641 $1,052.05 31643 $519.94 31645 $519.94 31646 $162.31 31647 $2,100.61 31648 $1,052.05 31649 $519.94 31651 $0.00 31652 $1,052.05 31653 $1,052.05 31654 $0.00 31717 $162.31 31720 $0.00 31730 $519.94

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

58 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 31750 $1,909.57 31755 $1,909.57 31820 $896.80 31825 $896.80 31830 $896.80 32400 $489.93 32408 $505.04 32550 $1,170.63 32552 $270.80 32553 $534.87 32554 $270.80 32555 $270.80 32556 $563.60 32557 $492.92 32960 $270.80 32994 $1,864.96 32998 $1,864.96 33016 $492.92 33206 $6,277.95 33207 $6,488.87 33208 $6,644.59 33210 $3,232.10 33211 $4,986.79 33212 $5,271.28 33213 $6,554.32 33214 $6,431.30 33215 $1,140.05 33216 $4,649.14 33217 $5,672.53 33218 $1,281.61 33220 $1,807.87 33221 $9,968.88 33222 $696.96 33223 $696.96 33224 $6,662.33 33225 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

59 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 33226 $1,140.05 33227 $5,152.61 33228 $6,489.66 33229 $10,036.97 33230 $16,958.41 33231 $22,646.02 33233 $4,550.09 33234 $1,281.61 33235 $1,658.81 33240 $16,781.20 33241 $1,281.61 33249 $22,696.48 33262 $16,578.41 33263 $16,812.47 33264 $22,729.28 33270 $22,493.38 33271 $5,320.96 33273 $1,281.61 33274 $9,459.41 33275 $1,140.05 33276 $34,483.03 33277 $0.00 33278 $1,613.44 33279 $2,031.95 33280 $1,613.44 33281 $1,613.44 33285 $5,657.66 33286 $262.00 33287 $20,536.60 33288 $9,323.94 33289 $20,987.41 33419 $0.00 33508 $0.00 33866 $0.00 33900 $5,002.87 33901 $5,002.87

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

60 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 33902 $8,314.00 33903 $5,002.87 34490 $1,140.05 34713 $0.00 34714 $0.00 34715 $0.00 34716 $0.00 35188 $1,973.54 35207 $1,140.05 35572 $0.00 35875 $1,973.54 35876 $1,973.54 36000 $0.00 36002 $270.80 36005 $0.00 36010 $0.00 36011 $0.00 36012 $0.00 36013 $0.00 36014 $0.00 36015 $0.00 36100 $0.00 36140 $0.00 36160 $0.00 36200 $0.00 36215 $0.00 36216 $0.00 36217 $0.00 36218 $0.00 36221 $0.00 36222 $0.00 36223 $0.00 36224 $0.00 36225 $0.00 36226 $0.00 36227 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

61 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 36228 $0.00 36245 $0.00 36246 $0.00 36247 $0.00 36248 $0.00 36251 $0.00 36252 $0.00 36253 $0.00 36254 $0.00 36260 $1,973.54 36261 $2,234.00 36262 $1,281.61 36400 $0.00 36405 $0.00 36406 $0.00 36410 $0.00 36416 $0.00 36420 $0.00 36425 $0.00 36430 $29.76 36440 $166.66 36450 $166.66 36455 $166.66 36465 $696.96 36466 $696.96 36468 $0.00 36470 $68.10 36471 $116.88 36473 $1,112.01 36474 $0.00 36475 $1,140.05 36476 $0.00 36478 $1,140.05 36479 $0.00 36481 $0.00 36482 $1,529.52

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

62 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 36483 $0.00 36500 $0.00 36510 $0.00 36511 $568.49 36512 $568.49 36513 $166.66 36514 $568.49 36516 $1,639.96 36522 $1,639.96 36555 $492.92 36556 $492.92 36557 $1,973.54 36558 $1,140.05 36560 $1,140.05 36561 $1,140.05 36563 $1,973.54 36565 $1,140.05 36566 $1,973.54 36568 $270.80 36569 $492.92 36570 $1,140.05 36571 $1,140.05 36572 $270.80 36573 $492.92 36575 $270.80 36576 $492.92 36578 $1,140.05 36580 $492.92 36581 $1,140.05 36582 $1,140.05 36583 $3,558.93 36584 $492.92 36585 $1,140.05 36589 $270.80 36590 $270.80 36591 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

63 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 36592 $0.00 36593 $26.69 36595 $1,140.05 36596 $492.92 36597 $492.92 36598 $78.91 36600 $0.00 36620 $0.00 36625 $0.00 36640 $1,140.05 36680 $0.00 36800 $1,973.54 36810 $1,140.05 36815 $1,973.54 36818 $1,973.54 36819 $1,973.54 36820 $1,973.54 36821 $1,140.05 36825 $1,973.54 36830 $1,973.54 36831 $1,973.54 36832 $1,973.54 36833 $1,973.54 36835 $1,699.70 36836 $8,798.77 36837 $9,734.34 36860 $270.80 36861 $1,973.54 36901 $487.44 36902 $1,820.48 36903 $5,371.24 36904 $2,443.95 36905 $3,555.50 36906 $8,654.90 36907 $0.00 36908 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

64 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 36909 $0.00 37184 $5,465.23 37185 $0.00 37186 $0.00 37187 $2,637.52 37188 $1,140.05 37192 $1,647.87 37193 $1,227.21 37197 $1,140.05 37200 $1,973.54 37211 $1,973.54 37212 $1,140.05 37220 $1,820.48 37221 $5,252.88 37222 $0.00 37223 $0.00 37224 $2,651.96 37225 $5,674.09 37226 $5,478.11 37227 $9,300.44 37228 $4,819.83 37229 $8,743.73 37230 $8,586.45 37231 $9,052.07 37232 $0.00 37233 $0.00 37234 $0.00 37235 $0.00 37236 $5,053.41 37237 $0.00 37238 $5,265.06 37239 $0.00 37241 $3,555.50 37242 $5,182.21 37243 $3,555.50 37246 $1,820.48

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

65 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 37247 $0.00 37248 $1,820.48 37249 $0.00 37252 $0.00 37253 $0.00 37500 $1,973.54 37607 $1,140.05 37609 $489.93 37650 $1,140.05 37700 $1,140.05 37718 $1,140.05 37722 $1,140.05 37735 $1,140.05 37760 $1,140.05 37761 $492.92 37765 $210.75 37766 $232.22 37780 $492.92 37785 $1,140.05 37790 $1,170.42 38200 $0.00 38204 $0.00 38206 $568.49 38220 $103.99 38221 $95.10 38222 $845.19 38230 $568.49 38232 $1,639.96 38241 $568.49 38242 $568.49 38243 $568.49 38300 $845.19 38305 $845.19 38308 $950.67 38500 $950.67 38505 $489.93

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

66 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 38510 $950.67 38520 $950.67 38525 $950.67 38530 $950.67 38531 $1,103.89 38542 $1,864.96 38550 $950.67 38555 $1,864.28 38570 $1,864.96 38571 $3,050.29 38572 $3,050.29 38573 $3,050.29 38700 $1,864.28 38740 $1,864.96 38745 $1,864.96 38760 $1,864.28 38790 $0.00 38792 $0.00 38794 $0.00 38900 $0.00 40490 $68.10 40500 $896.80 40510 $896.80 40520 $896.80 40525 $896.80 40527 $1,909.57 40530 $896.80 40650 $189.71 40652 $189.71 40654 $456.11 40700 $1,909.57 40701 $1,909.57 40702 $1,909.57 40720 $896.80 40761 $1,909.57 40800 $141.41

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

67 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 40801 $189.71 40804 $0.00 40805 $167.19 40806 $76.08 40808 $103.68 40810 $137.73 40812 $170.56 40814 $896.80 40816 $896.80 40818 $189.71 40819 $456.11 40820 $182.52 40830 $87.46 40831 $189.71 40840 $1,909.57 40842 $1,909.57 40843 $1,909.57 40844 $1,909.57 40845 $1,909.57 41000 $93.25 41005 $87.46 41006 $456.11 41007 $456.11 41008 $896.80 41009 $189.71 41010 $456.11 41015 $189.71 41016 $1,909.57 41017 $896.80 41018 $456.11 41019 $1,909.57 41100 $104.30 41105 $104.30 41108 $98.17 41110 $138.65 41112 $896.80

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

68 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 41113 $896.80 41114 $896.80 41115 $159.83 41116 $896.80 41120 $1,909.57 41250 $0.00 41251 $87.46 41252 $87.46 41510 $896.80 41512 $1,909.57 41520 $896.80 41530 $709.84 41800 $0.00 41805 $214.43 41806 $257.37 41820 $896.80 41821 $456.11 41822 $215.96 41823 $310.75 41825 $142.65 41826 $193.26 41827 $1,909.57 41828 $192.34 41830 $276.70 41850 $456.11 41870 $456.11 41872 $284.67 41874 $235.90 42000 $87.46 42100 $82.82 42104 $131.60 42106 $160.74 42107 $1,909.57 42120 $1,909.57 42140 $896.80 42145 $1,909.57

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

69 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 42160 $141.72 42180 $189.71 42182 $1,909.57 42200 $1,909.57 42205 $896.80 42210 $1,909.57 42215 $1,909.57 42220 $1,909.57 42225 $1,909.57 42226 $1,909.57 42227 $1,909.57 42235 $1,909.57 42260 $1,909.57 42280 $103.07 42281 $1,909.57 42300 $456.11 42305 $896.80 42310 $189.71 42320 $189.71 42330 $124.85 42335 $235.59 42340 $896.80 42400 $63.81 42405 $456.11 42408 $896.80 42409 $896.80 42410 $1,909.57 42415 $1,909.57 42420 $1,909.57 42425 $1,909.57 42440 $1,909.57 42450 $1,909.57 42500 $1,909.57 42505 $1,909.57 42507 $1,909.57 42509 $1,909.57

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

70 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 42510 $896.80 42550 $0.00 42600 $896.80 42650 $42.02 42660 $64.12 42665 $896.80 42700 $87.46 42720 $896.80 42725 $1,909.57 42800 $87.74 42804 $896.80 42806 $896.80 42808 $896.80 42809 $0.00 42810 $896.80 42815 $1,909.57 42820 $1,909.57 42821 $896.80 42825 $1,909.57 42826 $896.80 42830 $896.80 42831 $896.80 42835 $896.80 42836 $896.80 42860 $896.80 42870 $1,909.57 42890 $1,909.57 42892 $1,909.57 42900 $456.11 42950 $1,909.57 42955 $456.11 42960 $189.71 42962 $896.80 42970 $87.46 42972 $896.80 42975 $72.40

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

71 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 43030 $1,909.57 43130 $1,909.57 43180 $1,909.57 43191 $563.60 43192 $563.60 43193 $563.60 43194 $563.60 43195 $1,110.22 43196 $1,110.22 43197 $115.04 43198 $122.71 43200 $337.55 43201 $563.60 43202 $563.60 43204 $563.60 43205 $563.60 43206 $563.60 43210 $3,050.29 43211 $563.60 43212 $2,655.89 43213 $563.60 43214 $563.60 43215 $563.60 43216 $563.60 43217 $563.60 43220 $563.60 43226 $563.60 43227 $563.60 43229 $1,110.22 43231 $563.60 43232 $563.60 43233 $563.60 43235 $337.55 43236 $337.55 43237 $563.60 43238 $563.60

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

72 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 43239 $337.55 43240 $1,672.41 43241 $563.60 43242 $563.60 43243 $563.60 43244 $563.60 43245 $563.60 43246 $563.60 43247 $337.55 43248 $337.55 43249 $563.60 43250 $563.60 43251 $563.60 43252 $1,110.22 43253 $563.60 43254 $563.60 43255 $563.60 43257 $1,110.22 43259 $563.60 43260 $1,110.22 43261 $1,110.22 43262 $1,110.22 43263 $1,110.22 43264 $1,110.22 43265 $1,666.48 43266 $2,690.49 43270 $563.60 43273 $0.00 43274 $1,666.48 43275 $1,110.22 43276 $1,666.48 43277 $1,110.22 43278 $1,110.22 43284 $4,353.58 43285 $1,864.96 43290 $639.57

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

73 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 43291 $365.32 43450 $337.55 43453 $563.60 43653 $1,864.96 43752 $156.16 43753 $0.00 43754 $0.00 43755 $59.42 43756 $337.55 43757 $337.55 43761 $100.89 43762 $100.89 43763 $100.89 43774 $1,276.03 43870 $1,110.22 43886 $1,278.72 43887 $696.96 43888 $1,278.72 44100 $337.55 44312 $1,278.72 44340 $1,278.72 44360 $563.60 44361 $563.60 44363 $563.60 44364 $563.60 44365 $563.60 44366 $563.60 44369 $563.60 44370 $2,693.26 44372 $563.60 44373 $563.60 44376 $563.60 44377 $563.60 44378 $563.60 44379 $1,666.48 44380 $337.55

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

74 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 44381 $563.60 44382 $337.55 44384 $1,110.22 44385 $328.08 44386 $328.08 44388 $328.08 44389 $431.31 44390 $328.08 44391 $431.31 44392 $431.31 44394 $431.31 44401 $431.31 44402 $2,502.03 44403 $431.31 44404 $431.31 44405 $431.31 44406 $431.31 44407 $431.31 44408 $328.08 44500 $337.55 44701 $0.00 45000 $431.31 45005 $431.31 45020 $935.17 45100 $935.17 45108 $935.17 45150 $431.31 45160 $935.17 45171 $935.17 45172 $935.17 45190 $935.17 45300 $80.06 45303 $431.31 45305 $431.31 45307 $935.17 45308 $935.17

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

75 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 45309 $431.31 45315 $431.31 45317 $431.31 45320 $935.17 45321 $935.17 45327 $2,156.79 45330 $123.62 45331 $328.08 45332 $431.31 45333 $328.08 45334 $431.31 45335 $328.08 45337 $328.08 45338 $431.31 45340 $431.31 45341 $328.08 45342 $431.31 45346 $431.31 45347 $2,760.15 45349 $935.17 45350 $431.31 45378 $328.08 45379 $431.31 45380 $431.31 45381 $431.31 45382 $431.31 45384 $431.31 45385 $431.31 45386 $431.31 45388 $431.31 45389 $2,662.75 45390 $935.17 45391 $431.31 45392 $431.31 45393 $431.31 45398 $431.31

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

76 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 45500 $935.17 45505 $935.17 45520 $0.00 45541 $935.17 45560 $935.17 45900 $328.08 45905 $431.31 45910 $431.31 45915 $431.31 45990 $935.17 46020 $935.17 46030 $431.31 46040 $431.31 46045 $935.17 46050 $328.08 46060 $935.17 46070 $935.17 46080 $935.17 46083 $100.89 46200 $935.17 46220 $431.31 46221 $158.29 46230 $935.17 46250 $935.17 46255 $935.17 46257 $935.17 46258 $935.17 46260 $935.17 46261 $935.17 46262 $935.17 46270 $935.17 46275 $935.17 46280 $935.17 46285 $935.17 46288 $935.17 46320 $114.42

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

77 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 46500 $200.32 46505 $431.31 46600 $0.00 46601 $0.00 46604 $431.31 46606 $181.60 46607 $431.31 46608 $328.08 46610 $935.17 46611 $328.08 46612 $935.17 46614 $93.87 46615 $935.17 46700 $935.17 46706 $935.17 46707 $935.17 46750 $935.17 46753 $935.17 46754 $935.17 46760 $935.17 46761 $935.17 46900 $137.23 46910 $158.90 46916 $75.05 46917 $935.17 46922 $935.17 46924 $935.17 46930 $131.60 46940 $134.36 46942 $134.05 46945 $935.17 46946 $935.17 46947 $935.17 46948 $935.17 47000 $489.93 47001 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

78 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 47382 $1,864.96 47383 $2,637.15 47531 $0.00 47532 $0.00 47533 $1,170.63 47534 $1,170.63 47535 $1,170.63 47536 $1,170.63 47537 $337.55 47538 $2,829.97 47539 $1,864.96 47540 $2,651.40 47541 $1,170.63 47542 $0.00 47543 $0.00 47544 $0.00 47552 $1,170.63 47553 $1,170.63 47554 $1,864.96 47555 $1,170.63 47556 $2,764.23 47562 $1,864.96 47563 $1,864.96 47564 $1,864.96 48102 $489.93 49082 $337.55 49083 $337.55 49084 $337.55 49180 $489.93 49250 $1,170.63 49320 $1,864.96 49321 $1,864.96 49322 $1,864.96 49324 $1,864.96 49325 $1,864.96 49326 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

79 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 49327 $0.00 49400 $0.00 49402 $1,170.63 49406 $489.93 49407 $489.93 49411 $308.30 49418 $1,170.63 49419 $1,973.54 49421 $1,170.63 49422 $1,140.05 49423 $563.60 49424 $0.00 49426 $1,170.63 49427 $0.00 49429 $1,140.05 49435 $0.00 49436 $563.60 49440 $563.60 49441 $563.60 49442 $431.31 49446 $563.60 49450 $337.55 49451 $337.55 49452 $337.55 49460 $337.55 49465 $100.09 49495 $1,170.63 49496 $1,170.63 49500 $1,170.63 49501 $1,170.63 49505 $1,170.63 49507 $1,170.63 49520 $1,170.63 49521 $1,170.63 49525 $1,170.63 49540 $1,864.96

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

80 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 49550 $1,170.63 49553 $1,170.63 49555 $1,170.63 49557 $1,170.63 49591 $1,170.63 49592 $1,170.63 49593 $1,170.63 49594 $1,170.63 49595 $1,170.63 49600 $1,170.63 49613 $1,864.96 49614 $1,864.96 49615 $1,864.96 49650 $1,864.96 49651 $1,864.96 50080 $3,396.30 50081 $3,396.30 50200 $489.93 50382 $671.25 50384 $671.25 50385 $671.25 50386 $543.58 50387 $671.25 50389 $239.03 50390 $262.00 50391 $41.72 50396 $239.03 50430 $0.00 50431 $0.00 50432 $671.25 50433 $1,170.42 50434 $899.31 50435 $671.25 50436 $671.25 50437 $1,170.42 50551 $1,679.83

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

81 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 50553 $1,679.83 50555 $3,396.30 50557 $3,396.30 50561 $1,679.83 50562 $3,396.30 50570 $1,170.42 50572 $239.03 50574 $671.25 50575 $1,679.83 50576 $1,679.83 50580 $1,679.83 50590 $1,170.42 50592 $1,864.96 50593 $4,179.17 50606 $0.00 50684 $0.00 50686 $59.42 50688 $671.25 50690 $0.00 50693 $1,170.42 50694 $1,170.42 50695 $1,170.42 50705 $0.00 50706 $0.00 50727 $1,170.42 50947 $1,864.96 50948 $3,050.29 50951 $1,170.42 50953 $1,170.42 50955 $1,679.83 50957 $1,679.83 50961 $1,679.83 50970 $1,170.42 50972 $1,170.42 50974 $1,679.83 50976 $1,679.83

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

82 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 50980 $1,679.83 51020 $1,170.42

51040 $671.25 51045 $671.25 51050 $1,679.83 51065 $1,170.42 51080 $845.19 51100 $33.13 51101 $89.57 51102 $671.25 51500 $1,864.96 51520 $1,170.42 51535 $1,170.42 51600 $0.00 51605 $0.00 51610 $0.00 51700 $44.48 51701 $0.00 51702 $0.00 51703 $59.42 51705 $52.15 51710 $239.03 51715 $1,552.24 51720 $43.56 51725 $100.89 51726 $100.89 51727 $207.99 51728 $213.50 51729 $214.43 51736 $0.00 51741 $0.00 51784 $24.85 51785 $100.89 51792 $0.00 51797 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

83 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 51798 $0.00 51880 $1,170.42 51992 $2,485.42 52000 $239.03 52001 $1,170.42 52005 $671.25 52007 $1,170.42 52010 $239.03 52204 $671.25 52214 $671.25 52224 $671.25 52234 $1,170.42 52235 $1,170.42 52240 $1,679.83 52250 $1,170.42 52260 $671.25 52265 $230.99 52270 $671.25 52275 $671.25 52276 $671.25 52277 $1,170.42 52281 $671.25 52282 $1,170.42 52283 $671.25 52284 $2,100.49 52285 $239.03 52287 $671.25 52290 $671.25 52300 $1,170.42 52301 $1,170.42 52305 $1,679.83 52310 $671.25 52315 $671.25 52317 $1,170.42 52318 $1,170.42 52320 $1,170.42

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

84 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 52325 $1,679.83 52327 $2,284.74 52330 $1,170.42 52332 $1,170.42 52334 $1,170.42 52341 $1,170.42 52342 $1,170.42 52343 $671.25 52344 $1,170.42 52345 $1,170.42 52346 $1,679.83 52351 $1,170.42 52352 $1,170.42 52353 $1,679.83 52354 $1,679.83 52355 $1,679.83 52356 $1,679.83 52400 $1,170.42 52402 $1,170.42 52450 $1,170.42 52500 $1,170.42 52601 $1,679.83 52630 $1,679.83 52640 $1,170.42 52647 $1,679.83 52648 $1,679.83 52649 $1,679.83 52700 $1,170.42 53000 $671.25 53010 $1,679.83 53020 $671.25 53025 $671.25 53040 $671.25 53060 $69.63 53080 $239.03 53085 $671.25

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

85 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 53200 $671.25 53210 $1,170.42 53215 $1,679.83 53220 $1,170.42 53230 $1,679.83 53235 $1,679.83 53240 $1,170.42 53250 $1,170.42 53260 $671.25 53265 $671.25 53270 $671.25 53275 $671.25 53400 $1,679.83 53405 $1,679.83 53410 $1,679.83 53420 $1,679.83 53425 $1,679.83 53430 $1,679.83 53431 $1,679.83 53440 $5,564.69 53442 $1,679.83 53444 $11,645.96 53445 $12,696.73 53446 $1,679.83 53447 $12,310.92 53449 $1,679.83 53450 $1,170.42 53451 $8,653.91 53452 $3,004.56 53453 $1,214.33 53454 $117.04 53460 $1,170.42 53502 $1,170.42 53505 $1,679.83 53510 $1,679.83 53515 $1,679.83

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

86 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 53520 $1,679.83 53600 $33.44 53601 $0.00 53605 $671.25 53620 $74.24 53621 $76.08 53660 $37.43 53661 $0.00 53665 $671.25 53850 $1,170.42 53852 $1,116.92 53854 $671.25 53855 $590.83 53860 $671.25 53865 $6,293.53 53866 $70.66 54000 $1,170.42 54001 $671.25 54015 $489.93 54050 $0.00 54055 $67.80 54056 $0.00 54057 $696.96 54060 $696.96 54065 $696.96 54100 $489.93 54105 $845.19 54110 $1,170.42 54111 $1,679.83 54112 $3,396.30 54115 $845.19 54120 $1,170.42 54150 $671.25 54160 $239.03 54161 $671.25 54162 $671.25

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

87 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 54163 $671.25 54164 $671.25 54200 $59.51 54205 $1,679.83 54220 $100.89 54230 $0.00 54231 $54.91 54235 $37.12 54240 $32.21 54250 $10.43 54300 $1,170.42 54304 $1,170.42 54308 $1,679.83 54312 $1,170.42 54316 $1,679.83 54318 $1,170.42 54322 $1,170.42 54324 $1,170.42 54326 $671.25 54328 $1,170.42 54340 $1,170.42 54344 $1,679.83 54348 $1,679.83 54352 $1,679.83 54360 $1,170.42 54380 $671.25 54385 $671.25 54400 $12,288.26 54401 $12,634.62 54405 $12,698.92 54406 $1,170.42 54408 $1,679.83 54410 $12,519.91 54415 $1,170.42 54416 $12,440.25 54420 $671.25

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

88 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 54435 $1,170.42 54437 $1,170.42 54440 $1,170.42 54450 $100.89 54500 $845.19 54505 $1,170.42 54512 $1,170.42 54520 $1,170.42 54522 $1,170.42 54530 $1,170.63 54550 $1,170.63 54560 $671.25 54600 $1,170.42 54620 $1,170.42 54640 $1,170.63 54650 $1,223.51 54660 $2,330.79 54670 $671.25 54680 $1,170.42 54690 $1,864.96 54692 $1,864.96 54700 $671.25 54800 $489.93 54830 $671.25 54840 $671.25 54860 $671.25 54861 $1,170.42 54865 $1,170.42 54900 $671.25 54901 $1,170.42 55000 $54.60 55040 $1,170.63 55041 $1,170.63 55060 $1,170.42 55100 $489.93 55110 $1,170.42

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

89 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 55120 $671.25 55150 $1,170.42 55175 $1,170.42 55180 $1,679.83 55200 $1,170.42 55250 $671.25 55300 $0.00 55400 $1,170.42 55500 $1,170.42 55520 $1,170.42 55530 $1,170.42 55535 $1,170.63 55540 $1,170.63 55550 $1,864.96 55600 $671.25 55680 $1,170.42 55700 $671.25 55705 $671.25 55706 $1,170.42 55720 $671.25 55725 $1,170.42 55860 $1,679.83 55870 $65.95 55873 $5,265.42 55874 $1,679.83 55875 $1,679.83 55876 $69.02 55880 $1,753.87 55882 $9,118.42 55920 $1,543.91 56405 $59.51 56420 $71.32 56440 $1,050.01 56441 $1,050.01 56442 $1,050.01 56501 $88.04

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

90 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 56515 $696.96 56605 $40.49 56606 $0.00 56620 $1,050.01 56625 $1,050.01 56700 $1,050.01 56740 $1,050.01 56800 $1,050.01 56805 $1,050.01 56810 $1,050.01 56820 $51.84 56821 $67.49 57000 $1,050.01 57010 $1,050.01 57020 $1,543.91 57022 $845.19 57023 $845.19 57061 $77.92 57065 $1,050.01 57100 $42.33 57105 $1,050.01 57120 $1,543.91 57130 $1,050.01 57135 $1,050.01 57150 $0.00 57155 $1,543.91 57156 $116.27 57160 $28.83 57170 $30.06 57180 $71.32 57200 $1,050.01 57210 $1,050.01 57220 $1,543.91 57230 $1,050.01 57240 $1,543.91 57250 $1,543.91

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

91 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 57260 $1,543.91 57265 $1,543.91 57267 $0.00 57268 $1,543.91 57282 $2,419.10 57283 $2,419.10 57287 $1,050.01 57288 $2,084.00 57289 $2,320.78 57291 $1,543.91 57295 $1,050.01 57300 $1,050.01 57310 $2,320.78 57320 $1,543.91 57400 $1,050.01 57410 $1,050.01 57415 $1,050.01 57420 $53.69 57421 $70.86 57425 $3,304.38 57426 $2,320.78 57452 $52.45 57454 $61.66 57455 $65.65 57456 $62.58 57460 $169.02 57461 $180.38 57500 $83.44 57505 $71.17 57510 $65.34 57511 $84.06 57513 $1,050.01 57520 $1,050.01 57522 $1,050.01 57530 $1,543.91 57550 $1,543.91

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

92 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 57556 $1,543.91 57558 $1,050.01 57700 $1,050.01 57720 $1,050.01 57800 $34.36 58100 $42.95 58110 $0.00 58120 $1,050.01 58145 $1,050.01 58260 $1,543.91 58262 $1,543.91 58301 $44.48 58321 $37.12 58322 $39.26 58323 $5.22 58340 $0.00 58345 $1,050.01 58346 $1,543.91 58350 $1,543.91 58353 $1,543.91 58356 $1,368.77 58541 $1,864.96 58542 $3,050.29 58543 $3,050.29 58544 $3,050.29 58545 $1,864.96 58546 $3,050.29 58550 $1,864.96 58552 $3,050.29 58553 $3,050.29 58554 $3,050.29 58555 $1,050.01 58558 $1,050.01 58559 $1,543.91 58560 $1,543.91 58561 $1,543.91

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

93 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 58562 $1,050.01 58563 $1,543.91 58565 $1,543.91 58570 $3,050.29 58571 $3,050.29 58572 $3,050.29 58573 $3,050.29 58580 $3,379.67 58600 $1,050.01 58615 $1,050.01 58660 $1,864.96 58661 $1,864.96 58662 $1,864.96 58670 $1,864.96 58671 $1,864.96 58672 $1,864.96 58673 $1,864.96 58674 $3,050.29 58800 $1,050.01 58805 $1,050.01 58820 $1,050.01 58900 $1,050.01 58970 $274.22 58974 $274.22 58976 $116.27 59000 $55.83 59001 $116.27 59012 $116.27 59015 $52.45 59020 $28.22 59025 $15.95 59070 $116.27 59072 $162.54 59074 $116.27 59076 $116.27 59100 $1,543.91

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

94 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 59150 $1,864.96 59151 $1,864.96 59160 $1,050.01 59200 $47.86 59300 $95.10 59320 $1,050.01 59412 $1,050.01 59414 $1,050.01 59812 $1,050.01 59820 $1,050.01 59821 $1,050.01 59840 $1,050.01 59841 $1,050.01 59866 $116.27 59870 $1,050.01 59871 $1,050.01 60000 $456.11 60100 $45.70 60200 $1,864.96 60210 $1,864.96 60212 $1,864.96 60220 $1,864.96 60225 $1,864.96 60240 $1,864.96 60260 $2,346.70 60280 $1,864.96 60281 $1,864.96 60300 $66.88 60500 $1,909.57 60512 $0.00 60660 $602.04 60661 $0.00 61000 $268.46 61001 $268.46 61020 $348.77 61026 $268.46

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

95 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 61050 $112.43 61055 $112.43 61070 $268.46 61215 $1,844.70 61330 $896.80 61770 $1,844.70 61781 $0.00 61782 $0.00 61783 $0.00 61790 $677.27 61791 $677.27 61880 $1,569.06 61885 $14,711.53 61886 $20,027.75 61888 $3,806.91 62160 $0.00 62194 $677.27 62225 $1,844.70 62230 $1,844.70 62252 $29.76 62263 $348.77 62264 $348.77 62267 $262.00 62268 $348.77 62269 $489.93 62270 $268.46 62272 $268.46 62273 $268.46 62280 $348.77 62281 $348.77 62282 $348.77 62284 $0.00 62287 $677.27 62290 $0.00 62291 $0.00 62292 $677.27

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

96 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 62294 $348.77 62302 $0.00 62303 $0.00 62304 $0.00 62305 $0.00 62320 $268.46 62321 $268.46 62322 $268.46 62323 $268.46 62324 $348.77 62325 $348.77 62326 $348.77 62327 $348.77 62328 $268.46 62329 $268.46 62350 $2,463.29 62355 $677.27 62360 $11,751.22 62361 $12,105.69 62362 $11,617.56 62365 $1,844.70 62367 $11.65 62368 $16.26 62369 $60.44 62370 $56.44 62380 $2,382.86 63001 $2,382.86 63003 $2,382.86 63005 $2,382.86 63020 $2,382.86 63030 $2,382.86 63042 $2,382.86 63044 $0.00 63045 $2,382.86 63046 $2,382.86 63047 $2,382.86

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

97 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 63055 $2,382.86 63056 $2,382.86 63600 $677.27 63610 $1,000.93 63650 $3,837.63 63655 $13,552.09 63661 $677.27 63662 $1,569.06 63663 $3,751.47 63664 $12,344.99 63685 $19,948.00 63688 $1,569.06 63744 $1,844.70 63746 $677.27 64400 $65.03 64405 $28.22 64408 $34.66 64415 $348.77 64416 $348.77 64417 $348.77 64418 $36.81 64420 $268.46 64421 $348.77 64425 $63.81 64430 $348.77 64435 $37.73 64445 $76.08 64446 $348.77 64447 $41.11 64448 $348.77 64449 $348.77 64450 $41.11 64451 $268.46 64454 $134.36 64455 $17.48 64461 $268.46

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

98 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 64462 $0.00 64463 $268.46 64466 $0.00 64467 $0.00 64468 $0.00 64469 $0.00 64473 $0.00 64474 $0.00 64479 $348.77 64480 $0.00 64483 $348.77 64484 $0.00 64486 $0.00 64487 $0.00 64488 $0.00 64489 $0.00 64490 $348.77 64491 $0.00 64492 $0.00 64493 $348.77 64494 $0.00 64495 $0.00 64505 $60.74 64510 $348.77 64517 $348.77 64520 $348.77 64530 $348.77 64553 $4,388.55 64555 $3,983.23 64561 $3,981.22 64566 $88.96 64568 $20,355.26 64569 $4,645.52 64570 $1,844.70 64575 $13,321.61 64580 $14,483.39

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

99 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 64581 $4,117.58 64582 $21,103.08 64583 $6,877.15 64584 $2,121.37 64585 $1,569.06 64590 $14,699.02 64595 $1,569.06 64596 $7,840.78 64597 $0.00 64598 $1,613.44 64600 $348.77 64605 $677.27 64610 $677.27 64611 $64.12 64612 $65.65 64615 $57.98 64616 $55.52 64617 $75.46 64620 $348.77 64624 $270.87 64625 $677.27 64628 $8,005.16 64630 $348.77 64632 $36.20 64633 $677.27 64634 $0.00 64635 $677.27 64636 $0.00 64640 $150.01 64642 $67.18 64643 $0.00 64644 $82.82 64645 $0.00 64646 $67.49 64647 $74.24 64650 $45.70

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

100 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 64653 $52.76 64680 $348.77 64681 $348.77 64702 $677.27 64704 $677.27 64708 $677.27 64712 $677.27 64713 $677.27 64714 $677.27 64716 $677.27 64718 $677.27 64719 $677.27 64721 $677.27 64722 $677.27 64726 $677.27 64727 $0.00 64732 $677.27 64734 $677.27 64736 $677.27 64738 $677.27 64740 $677.27 64742 $677.27 64744 $677.27 64746 $677.27 64763 $677.27 64766 $677.27 64771 $677.27 64772 $677.27 64774 $677.27 64776 $677.27 64778 $0.00 64782 $677.27 64783 $0.00 64784 $677.27 64786 $1,844.70 64787 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

101 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 64788 $677.27 64790 $677.27 64792 $1,844.70 64795 $677.27 64802 $677.27 64820 $677.27 64821 $1,093.32 64822 $1,093.32 64823 $1,093.32 64831 $677.27 64832 $0.00 64834 $1,844.70 64835 $1,844.70 64836 $1,844.70 64837 $0.00 64840 $1,844.70 64856 $1,844.70 64857 $1,844.70 64858 $677.27 64859 $0.00 64861 $677.27 64862 $1,844.70 64864 $1,844.70 64865 $1,844.70 64872 $0.00 64874 $0.00 64876 $0.00 64885 $1,844.70 64886 $1,844.70 64890 $1,844.70 64891 $2,404.59 64892 $1,844.70 64893 $1,844.70 64895 $1,844.70 64896 $1,844.70 64897 $1,844.70

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

102 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 64898 $1,844.70 64901 $0.00 64902 $0.00 64905 $1,844.70 64907 $1,844.70 64910 $2,662.86 64912 $2,908.67 64913 $0.00 65091 $1,152.29 65093 $1,152.29 65101 $1,152.29 65103 $1,152.29 65105 $1,152.29 65110 $1,152.29 65112 $1,152.29 65114 $1,152.29 65125 $711.40 65130 $1,152.29 65135 $1,152.29 65140 $1,152.29 65150 $1,152.29 65155 $1,152.29 65175 $1,152.29 65205 $0.00 65210 $0.00 65220 $0.00 65222 $0.00 65235 $860.81 65260 $860.81 65265 $860.81 65270 $711.40 65272 $711.40 65275 $1,152.29 65280 $1,560.46 65285 $1,560.46 65286 $393.27

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

103 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 65290 $1,152.29 65400 $346.59 65410 $711.40 65420 $711.40 65426 $711.40 65430 $0.00 65435 $40.80 65436 $177.62 65450 $116.18 65600 $221.18 65710 $1,560.46 65730 $1,560.46 65750 $1,560.46 65755 $1,560.46 65756 $1,560.46 65757 $0.00 65770 $7,552.47 65772 $346.59 65775 $711.40 65778 $0.00 65779 $0.00 65780 $1,152.29 65781 $1,560.46 65782 $1,152.29 65785 $1,560.46 65800 $860.81 65810 $860.81 65815 $860.81 65820 $1,560.46 65850 $860.81 65855 $115.35 65860 $150.62 65865 $860.81 65870 $860.81 65875 $860.81 65880 $1,560.46

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

104 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 65900 $860.81 65920 $860.81 65930 $860.81 66020 $860.81 66030 $860.81 66130 $711.40 66150 $1,560.46 66155 $1,560.46 66160 $860.81 66170 $860.81 66172 $860.81 66174 $1,560.46 66175 $1,560.46 66179 $1,560.46 66180 $2,092.90 66183 $2,203.21 66184 $860.81 66185 $860.81 66225 $1,560.46 66250 $711.40 66500 $860.81 66505 $860.81 66600 $1,560.46 66605 $860.81 66625 $860.81 66630 $860.81 66635 $860.81 66680 $860.81 66682 $860.81 66683 $11,802.72 66700 $860.81 66710 $711.40 66711 $860.81 66720 $711.40 66740 $711.40 66761 $161.36

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

105 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 66762 $217.72 66770 $217.72 66820 $860.81 66821 $217.72 66825 $860.81 66830 $860.81 66840 $860.81 66850 $860.81 66852 $1,560.46 66920 $860.81 66930 $1,560.46 66940 $860.81 66982 $860.81 66983 $860.81 66984 $860.81 66985 $860.81 66986 $860.81 66987 $2,034.08 66988 $2,034.08 66989 $2,757.89 66990 $0.00 66991 $2,757.89 67005 $860.81 67010 $860.81 67015 $860.81 67025 $860.81 67027 $1,384.87 67028 $40.19 67030 $860.81 67031 $217.72 67036 $1,560.46 67039 $1,560.46 67040 $1,560.46 67041 $1,560.46 67042 $1,560.46 67043 $1,560.46

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

106 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 67101 $172.40 67105 $145.72 67107 $1,560.46 67108 $1,560.46 67110 $432.23 67113 $1,560.46 67115 $1,560.46 67120 $860.81 67121 $860.81 67141 $116.18 67145 $217.72 67208 $116.18 67210 $217.72 67218 $1,152.29 67220 $217.72 67221 $130.07 67225 $0.00 67227 $139.88 67228 $152.15 67229 $217.72 67250 $711.40 67255 $860.81 67311 $711.40 67312 $1,152.29 67314 $711.40 67316 $711.40 67318 $711.40 67320 $0.00 67331 $0.00 67332 $0.00 67334 $0.00 67335 $0.00 67340 $0.00 67343 $711.40 67345 $107.36 67346 $1,152.29

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

107 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 67400 $1,152.29 67405 $711.40 67412 $711.40 67413 $711.40 67414 $1,152.29 67415 $711.40 67420 $1,152.29 67430 $1,152.29 67440 $1,152.29 67445 $1,152.29 67450 $1,152.29 67500 $116.18 67505 $33.13 67515 $30.68 67516 $53.72 67550 $1,152.29 67560 $1,152.29 67570 $1,152.29 67700 $116.18 67710 $169.33 67715 $711.40 67800 $65.03 67801 $78.84 67805 $100.92 67808 $711.40 67810 $116.18 67820 $0.00 67825 $68.41 67830 $346.59 67835 $711.40 67840 $173.63 67850 $130.37 67875 $346.59 67880 $711.40 67882 $711.40 67900 $711.40

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

108 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 67901 $711.40 67902 $1,152.29 67903 $711.40 67904 $711.40 67906 $1,152.29 67908 $711.40 67909 $711.40 67911 $711.40 67912 $711.40 67914 $711.40 67915 $198.78 67916 $711.40 67917 $711.40 67921 $711.40 67922 $192.03 67923 $711.40 67924 $711.40 67930 $200.01 67935 $711.40 67938 $116.18 67950 $711.40 67961 $711.40 67966 $711.40 67971 $711.40 67973 $711.40 67974 $1,152.29 67975 $711.40 68020 $58.28 68040 $27.00 68100 $110.43 68110 $143.57 68115 $711.40 68130 $711.40 68135 $74.85 68200 $0.00 68320 $711.40

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

109 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 68325 $1,152.29 68326 $1,152.29 68328 $711.40 68330 $860.81 68335 $1,152.29 68340 $711.40 68360 $1,152.29 68362 $711.40 68371 $711.40 68400 $197.25 68420 $208.90 68440 $56.44 68500 $1,152.29 68505 $1,152.29 68510 $711.40 68520 $1,152.29 68525 $711.40 68530 $116.18 68540 $711.40 68550 $1,152.29 68700 $711.40 68705 $116.18 68720 $1,152.29 68745 $1,152.29 68750 $1,152.29 68760 $116.18 68761 $82.82 68770 $711.40 68801 $0.00 68810 $116.18 68811 $711.40 68815 $711.40 68816 $711.40 68840 $70.86 68841 $0.00 68850 $0.00

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

110 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 69000 $110.74 69005 $113.81 69020 $147.25 69100 $57.98 69105 $93.25 69110 $845.19 69120 $1,909.57 69140 $1,909.57 69145 $845.19 69150 $1,909.57 69200 $0.00 69205 $489.93 69209 $0.00 69210 $0.00 69220 $0.00 69222 $133.75 69300 $896.80 69310 $1,909.57 69320 $1,909.57 69420 $87.46 69421 $896.80 69424 $81.60 69433 $117.49 69436 $456.11 69440 $896.80 69450 $896.80 69501 $1,909.57 69502 $1,909.57 69505 $1,909.57 69511 $1,909.57 69530 $1,909.57 69540 $134.97 69550 $1,909.57 69552 $1,909.57 69601 $1,909.57 69602 $1,909.57

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

111 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 69603 $1,909.57 69604 $1,909.57 69610 $173.63 69620 $896.80 69631 $1,909.57 69632 $1,909.57 69633 $1,909.57 69635 $1,909.57 69636 $1,909.57 69637 $1,909.57 69641 $1,909.57 69642 $1,909.57 69643 $1,909.57 69644 $1,909.57 69645 $1,909.57 69646 $1,909.57 69650 $896.80 69660 $1,909.57 69661 $1,909.57 69662 $1,909.57 69666 $896.80 69667 $896.80 69670 $1,909.57 69676 $896.80 69700 $456.11 69705 $3,033.36 69706 $3,033.36 69711 $896.80 69714 $8,038.99 69716 $6,654.75 69717 $3,718.95 69719 $6,654.75 69720 $1,909.57 69726 $1,156.29 69727 $1,156.29 69728 $1,202.52

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

112 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 69729 $7,029.64 69730 $7,029.64 69740 $1,909.57 69745 $1,909.57 69801 $113.81 69805 $1,909.57 69806 $1,909.57 69905 $1,909.57 69910 $1,909.57 69915 $896.80 69930 $26,093.23 69990 $0.00 76015 $0.00 92920 $2,568.37 92921 $0.00 92928 $5,149.14 92929 $0.00 92978 $0.00 93451 $1,168.21 93452 $1,168.21 93453 $1,168.21 93454 $1,168.21 93455 $1,168.21 93456 $1,168.21 93457 $1,168.21 93458 $1,168.21 93459 $1,168.21 93460 $1,168.21 93461 $1,168.21 93462 $0.00 93566 $0.00 93567 $0.00 93568 $0.00 93571 $0.00 93572 $0.00 93985 $100.09

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

113 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) 93986 $48.14 C5271 $213.47 C5272 $0.00 C5273 $696.96 C5274 $0.00 C5275 $213.47 C5276 $0.00 C5277 $213.47 C5278 $0.00 C7501 $911.52 C7502 $911.52 C7503 $2,047.63 C7504 $2,667.04 C7505 $2,667.04 C7506 $2,667.04 C7507 $5,468.69 C7509 $1,201.22 C7510 $1,201.22 C7512 $1,201.22 C7513 $1,227.21 C7514 $1,227.21 C7515 $1,227.21 C7516 $1,977.77 C7517 $1,977.77 C7521 $1,977.77 C7522 $1,977.77 C7523 $1,977.77 C7524 $1,977.77 C7525 $1,977.77 C7526 $1,977.77 C7527 $1,977.77 C7528 $1,977.77 C7529 $1,977.77 C7531 $4,659.36 C7532 $4,495.47

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

114 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) C7535 $8,499.01 C7537 $8,582.65 C7538 $8,559.00 C7539 $8,722.67 C7540 $8,574.26 C7545 $1,932.16 C7548 $1,271.93 C7550 $1,271.93 C7551 $2,236.61 C7554 $720.74 C7556 $1,331.63 C7557 $2,147.16 C7558 $2,147.16 C7560 $1,529.23 C7562 $2,235.18 C7563 $5,002.19 C7565 $2,298.62 C8002 $2,852.13 C8003 $12,356.71 C9600 $5,260.89 C9601 $0.00 C9725 $328.08 C9726 $0.00 C9727 $456.11 C9728 $534.87 C9734 $6,958.64 C9739 $2,789.49 C9740 $5,872.60 C9757 $6,345.57 C9759 $0.00 C9761 $2,189.69 C9764 $3,709.81 C9765 $9,609.20 C9766 $6,142.47 C9767 $10,188.19 C9772 $4,937.21

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

115 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) C9773 $8,830.90 C9774 $8,957.14 C9775 $8,988.26 C9777 $1,548.18 C9778 $2,112.18 C9781 $7,029.64 C9789 $1,041.46 C9790 $5,784.87 C9796 $1,506.10 C9797 $10,458.60 D4210 $1,121.06 D4211 $1,121.06 D4212 $1,121.06 D4260 $2,346.70 D4263 $388.22 D4270 $566.81 D4273 $566.81 D7111 $388.22 D7140 $388.22 D7210 $566.81 D7220 $388.22 D7230 $388.22 D7240 $388.22 D7241 $388.22 D7250 $388.22 D7251 $558.77 D7270 $388.22 D7280 $758.72 D7310 $566.81 D7311 $566.81 D7320 $558.77 D7321 $558.77 D7410 $558.77 D7411 $558.77 D7412 $558.77 D7413 $558.77

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

116 Code Fee Description (see FASC services code spreadsheet at www.mass.gov/regulations/101-CMR-34700-rates-for-freestanding- ambulatory-surgery-center-services) D7414 $558.77 D7415 $558.77 D7450 $1,185.28 D7451 $1,185.28 D7460 $758.72 D7461 $758.72 D7471 $1,185.28 D7472 $388.22 D7473 $388.22 D7485 $2,479.75 D7510 $310.22 D7511 $310.22 D7520 $310.22 D7521 $320.96 D7530 $758.72 D7540 $758.72 D7550 $388.22 D7950 $2,346.50 G0104 $123.62 G0105 $328.08 G0121 $328.08 G0186 $217.72 G0260 $268.46 G0269 $0.00 G0276 $2,382.86 G0330 $1,121.06 G0429 $46.19 G0516 $0.00 G0517 $0.00 G0518 $0.00 G0564 $1,483.22 G0565 $1,483.22

Final Adoption Date Published in the Mass. Register: April 24, 2026

101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES

101 CMR 347.00: RATES FOR FREESTANDING AMBULATORY SURGERY CENTER SERVICES

117

347.04 Filing and Reporting Requirements

347.04: Filing and Reporting Requirements

(1) Required Reports. Reporting requirements are governed by 957 CMR 6.00: Cost Reporting Requirements.

(2) Penalty for Noncompliance. The purchasing governmental unit may impose a penalty in the amount of up to 15% of its payments to any provider that fails to submit required information. The purchasing governmental unit will notify the provider in advance of its intention to impose a penalty under 101 CMR 347.04(2).

347.05 Severability

347.05: Severability

The provisions of 101 CMR 347.00 are severable. If any provision of 101 CMR 347.00 or application of any provision to an applicable individual, entity, or circumstance is held invalid or unconstitutional, that holding will not be construed to affect the validity or constitutionality of any remaining provisions to 101 CMR 347.00 or application of those provisions to applicable individuals, entities, or circumstances.

REGULATORY AUTHORITY

101 CMR 347.00: M.G.L. c. 118E.