(ASC) Fee Schedule for Iowa CBSA 26980 - WPS Medicare
(ASC) Fee Schedule for Iowa CBSA 26980 - WPS Medicare
(ASC) Fee Schedule for Iowa CBSA 26980 - WPS Medicare
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http://www.wpsmedicare.com<br />
<strong>WPS</strong> <strong>Medicare</strong><br />
Ambulatory Surgical Center (<strong>ASC</strong>) <strong>Fee</strong> <strong>Schedule</strong> <strong>for</strong> <strong>Iowa</strong> <strong>CBSA</strong> <strong>26980</strong><br />
Effective January 1, 2011<br />
All Current Procedural Terminology (CPT) codes and descriptors are copyrighted<br />
2009 by the American Medical Association. All Rights Reserved. No fee schedules,<br />
basic units, relative values, or related listings are included in CPT. The AMA<br />
assumes no liability <strong>for</strong> the data contained herein. Applicable FARS/DFARS<br />
restrictions apply to government use. All rights reserved.<br />
HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT<br />
19100 S 174.56 0.00 0.00<br />
19101 S 974.48 0.00 0.00<br />
19102 S 309.81 0.00 0.00<br />
19103 S 597.87 0.00 0.00<br />
19105 S 1,291.84 0.00 0.00<br />
19110 S 974.48 0.00 0.00<br />
19112 S 974.48 0.00 0.00<br />
19120 S 974.48 0.00 0.00<br />
19125 S 974.48 0.00 0.00<br />
19126 S 974.48 0.00 0.00<br />
19296 S 2,436.70 0.00 0.00<br />
19297 S 2,436.70 0.00 0.00<br />
19298 S 2,436.70 0.00 0.00<br />
19300 S 974.48 0.00 0.00<br />
19301 S 974.48 0.00 0.00<br />
19302 S 1,713.66 0.00 0.00<br />
19303 S 1,291.84 0.00 0.00<br />
19304 S 1,291.84 0.00 0.00<br />
19316 S 1,291.84 0.00 0.00<br />
19318 S 1,713.66 0.00 0.00<br />
19324 S 1,713.66 0.00 0.00<br />
19325 S 2,436.70 0.00 0.00<br />
19328 S 1,291.84 0.00 0.00<br />
19330 S 1,291.84 0.00 0.00<br />
19340 S 1,713.66 0.00 0.00<br />
19342 S 2,436.70 0.00 0.00<br />
19350 S 974.48 0.00 0.00<br />
19355 S 1,291.84 0.00 0.00<br />
19357 S 2,436.70 0.00 0.00<br />
19366 S 1,291.84 0.00 0.00<br />
19370 S 1,291.84 0.00 0.00<br />
19371 S 1,291.84 0.00 0.00<br />
19380 S 1,713.66 0.00 0.00<br />
19396 S 1,291.84 0.00 0.00<br />
20005 S 323.40 0.00 0.00<br />
20103 S 495.51 0.00 0.00<br />
20150 S 1,801.94 0.00 0.00<br />
20200 S 688.40 0.00 0.00<br />
20205 S 688.40 0.00 0.00<br />
20206 S 309.81 0.00 0.00<br />
20220 S 323.40 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
12 of 100
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