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(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 />

24301 S 1,227.81 0.00 0.00<br />

24305 S 1,227.81 0.00 0.00<br />

24310 S 874.83 0.00 0.00<br />

24320 S 1,801.94 0.00 0.00<br />

24330 S 3,388.51 0.00 0.00<br />

24331 S 1,801.94 0.00 0.00<br />

24332 S 874.83 0.00 0.00<br />

24340 S 1,801.94 0.00 0.00<br />

24341 S 1,801.94 0.00 0.00<br />

24342 S 1,801.94 0.00 0.00<br />

24343 S 1,227.81 0.00 0.00<br />

24344 S 3,388.51 0.00 0.00<br />

24345 S 1,227.81 0.00 0.00<br />

24346 S 3,388.51 0.00 0.00<br />

24357 S 1,227.81 0.00 0.00<br />

24358 S 1,227.81 0.00 0.00<br />

24359 S 1,227.81 0.00 0.00<br />

24360 S 1,495.95 0.00 0.00<br />

24361 S 6,947.01 4,438.98 1,930.95<br />

24362 S 2,283.08 0.00 0.00<br />

24363 S 6,947.01 4,438.98 1,930.95<br />

24365 S 1,495.95 0.00 0.00<br />

24366 S 6,947.01 4,438.98 1,930.95<br />

24400 S 3,388.51 0.00 0.00<br />

24410 S 1,801.94 0.00 0.00<br />

24420 S 1,801.94 0.00 0.00<br />

24430 S 3,388.51 0.00 0.00<br />

24435 S 3,388.51 0.00 0.00<br />

24470 S 1,801.94 0.00 0.00<br />

24495 S 1,227.81 0.00 0.00<br />

24498 S 3,388.51 0.00 0.00<br />

24500 S 60.11 0.00 0.00<br />

24505 S 60.11 0.00 0.00<br />

24515 S 2,547.68 0.00 0.00<br />

24516 S 2,547.68 0.00 0.00<br />

24530 S 60.11 0.00 0.00<br />

24535 S 209.62 0.00 0.00<br />

24538 S 1,011.16 0.00 0.00<br />

24545 S 2,547.68 0.00 0.00<br />

24546 S 2,547.68 0.00 0.00<br />

24560 S 60.11 0.00 0.00<br />

PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />

A = ANCILLARY SERVICE, C = CARRIER PRICED<br />

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