(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 />
C9716 S 1,243.63 0.00 0.00<br />
C9724 S 635.10 0.00 0.00<br />
C9725 S 229.07 0.00 0.00<br />
C9726 S 974.48 0.00 0.00<br />
C9727 S 301.56 0.00 0.00<br />
C9728 S 512.36 0.00 0.00<br />
C9800 S 176.78 0.00 0.00<br />
G0104 S 98.51 0.00 0.00<br />
G0105 S 315.07 0.00 0.00<br />
G0121 S 315.07 0.00 0.00<br />
G0127 S 15.03 0.00 0.00<br />
G0130 TC A 21.70 0.00 0.00<br />
G0173 A 1,884.53 0.00 0.00<br />
G0186 S 222.58 0.00 0.00<br />
G0247 S 34.67 0.00 0.00<br />
G0251 A 540.21 0.00 0.00<br />
G0260 S 288.96 0.00 0.00<br />
G0339 A 1,884.53 0.00 0.00<br />
G0340 A 1,384.73 0.00 0.00<br />
G0364 S 6.35 0.00 0.00<br />
Q1003 A 50.00 0.00 0.00<br />
V2785 C 0.00 0.00 0.00<br />
0073T A 242.27 0.00 0.00<br />
0099T S 681.69 0.00 0.00<br />
0100T S 1,559.58 0.00 0.00<br />
0101T S 1,227.81 0.00 0.00<br />
0102T S 1,227.81 0.00 0.00<br />
0123T S 929.69 0.00 0.00<br />
0124T S 97.03 0.00 0.00<br />
0182T TC A 387.06 0.00 0.00<br />
0186T S 892.21 0.00 0.00<br />
0190T S 892.21 0.00 0.00<br />
0191T S 1,646.48 0.00 0.00<br />
0192T S 1,646.48 0.00 0.00<br />
0200T S 874.83 0.00 0.00<br />
0201T S 1,227.81 0.00 0.00<br />
0213T S 288.96 0.00 0.00<br />
0214T S 101.61 0.00 0.00<br />
0215T S 101.61 0.00 0.00<br />
0216T S 288.96 0.00 0.00<br />
0217T S 101.61 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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