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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 />

26560 S 653.60 0.00 0.00<br />

26561 S 1,133.55 0.00 0.00<br />

26562 S 1,133.55 0.00 0.00<br />

26565 S 1,133.55 0.00 0.00<br />

26567 S 1,133.55 0.00 0.00<br />

26568 S 1,133.55 0.00 0.00<br />

26580 S 653.60 0.00 0.00<br />

26587 S 653.60 0.00 0.00<br />

26590 S 653.60 0.00 0.00<br />

26591 S 1,133.55 0.00 0.00<br />

26593 S 653.60 0.00 0.00<br />

26596 S 653.60 0.00 0.00<br />

26600 S 60.11 0.00 0.00<br />

26605 S 60.11 0.00 0.00<br />

26607 S 793.40 0.00 0.00<br />

26608 S 1,011.16 0.00 0.00<br />

26615 S 1,832.80 0.00 0.00<br />

26641 S 60.11 0.00 0.00<br />

26645 S 209.62 0.00 0.00<br />

26650 S 1,011.16 0.00 0.00<br />

26665 S 1,832.80 0.00 0.00<br />

26670 S 60.11 0.00 0.00<br />

26675 S 60.11 0.00 0.00<br />

26676 S 1,011.16 0.00 0.00<br />

26685 S 1,011.16 0.00 0.00<br />

26686 S 2,547.68 0.00 0.00<br />

26700 S 60.11 0.00 0.00<br />

26705 S 60.11 0.00 0.00<br />

26706 S 793.40 0.00 0.00<br />

26715 S 1,011.16 0.00 0.00<br />

26720 S 60.11 0.00 0.00<br />

26725 S 60.11 0.00 0.00<br />

26727 S 1,011.16 0.00 0.00<br />

26735 S 1,011.16 0.00 0.00<br />

26740 S 60.11 0.00 0.00<br />

26742 S 60.11 0.00 0.00<br />

26746 S 1,011.16 0.00 0.00<br />

26750 S 60.11 0.00 0.00<br />

26755 S 60.11 0.00 0.00<br />

26756 S 1,011.16 0.00 0.00<br />

26765 S 1,011.16 0.00 0.00<br />

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

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

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