(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 />
20972 S 2,104.15 0.00 0.00<br />
20973 S 2,104.15 0.00 0.00<br />
20979 S 25.56 0.00 0.00<br />
20982 S 1,801.94 0.00 0.00<br />
21010 S 976.62 0.00 0.00<br />
21011 S 208.04 0.00 0.00<br />
21012 S 323.40 0.00 0.00<br />
21013 S 290.52 0.00 0.00<br />
21014 S 323.40 0.00 0.00<br />
21015 S 688.40 0.00 0.00<br />
21016 S 910.03 0.00 0.00<br />
21025 S 1,701.74 0.00 0.00<br />
21026 S 1,701.74 0.00 0.00<br />
21029 S 1,701.74 0.00 0.00<br />
21030 S 303.89 0.00 0.00<br />
21031 S 247.45 0.00 0.00<br />
21032 S 252.12 0.00 0.00<br />
21034 S 1,701.74 0.00 0.00<br />
21040 S 976.62 0.00 0.00<br />
21044 S 1,701.74 0.00 0.00<br />
21046 S 1,701.74 0.00 0.00<br />
21047 S 1,701.74 0.00 0.00<br />
21048 S 1,701.74 0.00 0.00<br />
21050 S 1,701.74 0.00 0.00<br />
21060 S 1,701.74 0.00 0.00<br />
21070 S 1,701.74 0.00 0.00<br />
21073 S 237.76 0.00 0.00<br />
21076 S 442.80 0.00 0.00<br />
21077 S 1,089.97 0.00 0.00<br />
21079 S 761.71 0.00 0.00<br />
21080 S 864.90 0.00 0.00<br />
21081 S 799.12 0.00 0.00<br />
21082 S 772.73 0.00 0.00<br />
21083 S 756.71 0.00 0.00<br />
21084 S 858.55 0.00 0.00<br />
21085 S 361.32 0.00 0.00<br />
21086 S 795.44 0.00 0.00<br />
21087 S 792.10 0.00 0.00<br />
21088 S 1,701.74 0.00 0.00<br />
21100 S 1,701.74 0.00 0.00<br />
21110 S 301.56 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
14 of 100
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