(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 />
25077 S 688.40 0.00 0.00<br />
25078 S 910.03 0.00 0.00<br />
25085 S 874.83 0.00 0.00<br />
25100 S 874.83 0.00 0.00<br />
25101 S 1,227.81 0.00 0.00<br />
25105 S 1,227.81 0.00 0.00<br />
25107 S 1,227.81 0.00 0.00<br />
25109 S 874.83 0.00 0.00<br />
25110 S 874.83 0.00 0.00<br />
25111 S 874.83 0.00 0.00<br />
25112 S 874.83 0.00 0.00<br />
25115 S 874.83 0.00 0.00<br />
25116 S 874.83 0.00 0.00<br />
25118 S 1,227.81 0.00 0.00<br />
25119 S 1,227.81 0.00 0.00<br />
25120 S 1,227.81 0.00 0.00<br />
25125 S 1,227.81 0.00 0.00<br />
25126 S 1,227.81 0.00 0.00<br />
25130 S 1,227.81 0.00 0.00<br />
25135 S 1,227.81 0.00 0.00<br />
25136 S 1,227.81 0.00 0.00<br />
25145 S 1,227.81 0.00 0.00<br />
25150 S 1,227.81 0.00 0.00<br />
25151 S 1,227.81 0.00 0.00<br />
25210 S 1,227.81 0.00 0.00<br />
25215 S 1,227.81 0.00 0.00<br />
25230 S 1,227.81 0.00 0.00<br />
25240 S 1,227.81 0.00 0.00<br />
25248 S 874.83 0.00 0.00<br />
25250 S 1,227.81 0.00 0.00<br />
25251 S 1,227.81 0.00 0.00<br />
25259 S 793.40 0.00 0.00<br />
25260 S 1,227.81 0.00 0.00<br />
25263 S 1,227.81 0.00 0.00<br />
25265 S 1,227.81 0.00 0.00<br />
25270 S 1,227.81 0.00 0.00<br />
25272 S 1,227.81 0.00 0.00<br />
25274 S 1,227.81 0.00 0.00<br />
25275 S 1,227.81 0.00 0.00<br />
25280 S 1,227.81 0.00 0.00<br />
25290 S 1,227.81 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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