(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 />
20225 S 688.40 0.00 0.00<br />
20240 S 910.03 0.00 0.00<br />
20245 S 910.03 0.00 0.00<br />
20250 S 874.83 0.00 0.00<br />
20251 S 874.83 0.00 0.00<br />
20500 S 59.78 0.00 0.00<br />
20520 S 114.54 0.00 0.00<br />
20525 S 910.03 0.00 0.00<br />
20526 S 36.39 0.00 0.00<br />
20550 S 27.38 0.00 0.00<br />
20551 S 28.38 0.00 0.00<br />
20552 S 27.05 0.00 0.00<br />
20553 S 30.72 0.00 0.00<br />
20555 S 1,227.81 0.00 0.00<br />
20600 S 27.72 0.00 0.00<br />
20605 S 31.39 0.00 0.00<br />
20610 S 45.08 0.00 0.00<br />
20612 S 30.39 0.00 0.00<br />
20615 S 122.89 0.00 0.00<br />
20650 S 874.83 0.00 0.00<br />
20662 S 874.83 0.00 0.00<br />
20663 S 874.83 0.00 0.00<br />
20665 S 25.56 0.00 0.00<br />
20670 S 688.40 0.00 0.00<br />
20680 S 910.03 0.00 0.00<br />
20690 S 1,227.81 0.00 0.00<br />
20692 S 1,227.81 0.00 0.00<br />
20693 S 874.83 0.00 0.00<br />
20694 S 874.83 0.00 0.00<br />
20696 S 1,227.81 0.00 0.00<br />
20697 S 793.40 0.00 0.00<br />
20822 S 1,133.55 0.00 0.00<br />
20900 S 1,227.81 0.00 0.00<br />
20902 S 1,227.81 0.00 0.00<br />
20910 S 848.47 0.00 0.00<br />
20912 S 848.47 0.00 0.00<br />
20920 S 655.40 0.00 0.00<br />
20922 S 655.40 0.00 0.00<br />
20924 S 1,227.81 0.00 0.00<br />
20926 S 176.78 0.00 0.00<br />
20950 S 56.76 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
13 of 100
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