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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 />

24565 S 60.11 0.00 0.00<br />

24566 S 1,011.16 0.00 0.00<br />

24575 S 2,547.68 0.00 0.00<br />

24576 S 60.11 0.00 0.00<br />

24577 S 60.11 0.00 0.00<br />

24579 S 2,547.68 0.00 0.00<br />

24582 S 1,011.16 0.00 0.00<br />

24586 S 2,547.68 0.00 0.00<br />

24587 S 2,547.68 0.00 0.00<br />

24600 S 60.11 0.00 0.00<br />

24605 S 592.17 0.00 0.00<br />

24615 S 2,547.68 0.00 0.00<br />

24620 S 793.40 0.00 0.00<br />

24635 S 2,547.68 0.00 0.00<br />

24640 S 60.11 0.00 0.00<br />

24650 S 60.11 0.00 0.00<br />

24655 S 209.62 0.00 0.00<br />

24665 S 1,832.80 0.00 0.00<br />

24666 S 2,547.68 0.00 0.00<br />

24670 S 60.11 0.00 0.00<br />

24675 S 60.11 0.00 0.00<br />

24685 S 1,832.80 0.00 0.00<br />

24800 S 1,801.94 0.00 0.00<br />

24802 S 3,388.51 0.00 0.00<br />

24925 S 874.83 0.00 0.00<br />

25000 S 874.83 0.00 0.00<br />

25001 S 874.83 0.00 0.00<br />

25020 S 1,227.81 0.00 0.00<br />

25023 S 1,227.81 0.00 0.00<br />

25024 S 1,227.81 0.00 0.00<br />

25025 S 1,227.81 0.00 0.00<br />

25028 S 874.83 0.00 0.00<br />

25031 S 874.83 0.00 0.00<br />

25035 S 874.83 0.00 0.00<br />

25040 S 1,227.81 0.00 0.00<br />

25065 S 166.30 0.00 0.00<br />

25066 S 910.03 0.00 0.00<br />

25071 S 910.03 0.00 0.00<br />

25073 S 910.03 0.00 0.00<br />

25075 S 305.88 0.00 0.00<br />

25076 S 688.40 0.00 0.00<br />

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

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

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