(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 />
23065 S 119.55 0.00 0.00<br />
23066 S 910.03 0.00 0.00<br />
23071 S 910.03 0.00 0.00<br />
23073 S 910.03 0.00 0.00<br />
23075 S 217.40 0.00 0.00<br />
23076 S 688.40 0.00 0.00<br />
23077 S 688.40 0.00 0.00<br />
23078 S 910.03 0.00 0.00<br />
23100 S 874.83 0.00 0.00<br />
23101 S 1,227.81 0.00 0.00<br />
23105 S 1,227.81 0.00 0.00<br />
23106 S 1,227.81 0.00 0.00<br />
23107 S 1,227.81 0.00 0.00<br />
23120 S 1,227.81 0.00 0.00<br />
23125 S 1,227.81 0.00 0.00<br />
23130 S 1,801.94 0.00 0.00<br />
23140 S 874.83 0.00 0.00<br />
23145 S 1,227.81 0.00 0.00<br />
23146 S 1,227.81 0.00 0.00<br />
23150 S 1,227.81 0.00 0.00<br />
23155 S 1,227.81 0.00 0.00<br />
23156 S 1,227.81 0.00 0.00<br />
23170 S 1,227.81 0.00 0.00<br />
23172 S 1,227.81 0.00 0.00<br />
23174 S 1,227.81 0.00 0.00<br />
23180 S 1,227.81 0.00 0.00<br />
23182 S 1,227.81 0.00 0.00<br />
23184 S 1,227.81 0.00 0.00<br />
23190 S 1,227.81 0.00 0.00<br />
23195 S 1,227.81 0.00 0.00<br />
23330 S 323.40 0.00 0.00<br />
23331 S 910.03 0.00 0.00<br />
23395 S 1,801.94 0.00 0.00<br />
23397 S 3,388.51 0.00 0.00<br />
23400 S 1,227.81 0.00 0.00<br />
23405 S 1,227.81 0.00 0.00<br />
23406 S 1,227.81 0.00 0.00<br />
23410 S 1,801.94 0.00 0.00<br />
23412 S 1,801.94 0.00 0.00<br />
23415 S 1,801.94 0.00 0.00<br />
23420 S 1,801.94 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
18 of 100
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