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(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 />

26450 S 653.60 0.00 0.00<br />

26455 S 653.60 0.00 0.00<br />

26460 S 653.60 0.00 0.00<br />

26471 S 653.60 0.00 0.00<br />

26474 S 653.60 0.00 0.00<br />

26476 S 653.60 0.00 0.00<br />

26477 S 653.60 0.00 0.00<br />

26478 S 653.60 0.00 0.00<br />

26479 S 653.60 0.00 0.00<br />

26480 S 1,133.55 0.00 0.00<br />

26483 S 1,133.55 0.00 0.00<br />

26485 S 1,133.55 0.00 0.00<br />

26489 S 1,133.55 0.00 0.00<br />

26490 S 1,133.55 0.00 0.00<br />

26492 S 1,133.55 0.00 0.00<br />

26494 S 1,133.55 0.00 0.00<br />

26496 S 1,133.55 0.00 0.00<br />

26497 S 1,133.55 0.00 0.00<br />

26498 S 1,133.55 0.00 0.00<br />

26499 S 1,133.55 0.00 0.00<br />

26500 S 653.60 0.00 0.00<br />

26502 S 1,133.55 0.00 0.00<br />

26508 S 653.60 0.00 0.00<br />

26510 S 1,133.55 0.00 0.00<br />

26516 S 1,133.55 0.00 0.00<br />

26517 S 1,133.55 0.00 0.00<br />

26518 S 1,133.55 0.00 0.00<br />

26520 S 653.60 0.00 0.00<br />

26525 S 653.60 0.00 0.00<br />

26530 S 1,495.95 0.00 0.00<br />

26531 S 2,283.08 0.00 0.00<br />

26535 S 1,495.95 0.00 0.00<br />

26536 S 2,283.08 0.00 0.00<br />

26540 S 653.60 0.00 0.00<br />

26541 S 1,133.55 0.00 0.00<br />

26542 S 653.60 0.00 0.00<br />

26545 S 1,133.55 0.00 0.00<br />

26546 S 1,133.55 0.00 0.00<br />

26548 S 1,133.55 0.00 0.00<br />

26550 S 1,133.55 0.00 0.00<br />

26555 S 1,133.55 0.00 0.00<br />

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

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

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