(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 />
21335 S 976.62 0.00 0.00<br />
21336 S 1,011.16 0.00 0.00<br />
21337 S 660.24 0.00 0.00<br />
21338 S 976.62 0.00 0.00<br />
21339 S 976.62 0.00 0.00<br />
21340 S 1,701.74 0.00 0.00<br />
21345 S 976.62 0.00 0.00<br />
21355 S 1,701.74 0.00 0.00<br />
21356 S 976.62 0.00 0.00<br />
21360 S 976.62 0.00 0.00<br />
21390 S 1,701.74 0.00 0.00<br />
21400 S 301.56 0.00 0.00<br />
21401 S 660.24 0.00 0.00<br />
21406 S 1,701.74 0.00 0.00<br />
21407 S 1,701.74 0.00 0.00<br />
21421 S 976.62 0.00 0.00<br />
21440 S 402.06 0.00 0.00<br />
21445 S 976.62 0.00 0.00<br />
21450 S 135.33 0.00 0.00<br />
21451 S 301.56 0.00 0.00<br />
21452 S 660.24 0.00 0.00<br />
21453 S 1,701.74 0.00 0.00<br />
21454 S 976.62 0.00 0.00<br />
21461 S 1,701.74 0.00 0.00<br />
21462 S 1,701.74 0.00 0.00<br />
21465 S 1,701.74 0.00 0.00<br />
21480 S 43.15 0.00 0.00<br />
21485 S 660.24 0.00 0.00<br />
21490 S 1,701.74 0.00 0.00<br />
21495 S 660.24 0.00 0.00<br />
21497 S 660.24 0.00 0.00<br />
21501 S 769.18 0.00 0.00<br />
21502 S 874.83 0.00 0.00<br />
21550 S 688.40 0.00 0.00<br />
21552 S 910.03 0.00 0.00<br />
21554 S 910.03 0.00 0.00<br />
21555 S 241.10 0.00 0.00<br />
21556 S 910.03 0.00 0.00<br />
21557 S 688.40 0.00 0.00<br />
21558 S 910.03 0.00 0.00<br />
21600 S 1,227.81 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
16 of 100
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