(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 />
0218T S 101.61 0.00 0.00<br />
0226T S 25.56 0.00 0.00<br />
0227T S 220.79 0.00 0.00<br />
0228T S 288.96 0.00 0.00<br />
0229T S 147.83 0.00 0.00<br />
0230T S 288.96 0.00 0.00<br />
0231T S 147.83 0.00 0.00<br />
0232T S 25.56 0.00 0.00<br />
0238T S 3,530.86 0.00 0.00<br />
0249T S 613.54 0.00 0.00<br />
0250T S 1,090.12 0.00 0.00<br />
0251T S 399.85 0.00 0.00<br />
0252T S 399.85 0.00 0.00<br />
0253T S 929.69 0.00 0.00<br />
10021 S 59.80 0.00 0.00<br />
10022 S 174.56 0.00 0.00<br />
10040 S 34.67 0.00 0.00<br />
10060 S 56.76 0.00 0.00<br />
10061 S 56.76 0.00 0.00<br />
10080 S 56.76 0.00 0.00<br />
10081 S 153.94 0.00 0.00<br />
10120 S 84.82 0.00 0.00<br />
10121 S 688.40 0.00 0.00<br />
10140 S 91.84 0.00 0.00<br />
10160 S 56.76 0.00 0.00<br />
10180 S 769.18 0.00 0.00<br />
11000 S 29.39 0.00 0.00<br />
11001 S 9.68 0.00 0.00<br />
11010 S 193.77 0.00 0.00<br />
11011 S 193.77 0.00 0.00<br />
11012 S 193.77 0.00 0.00<br />
11042 S 104.02 0.00 0.00<br />
11043 S 104.02 0.00 0.00<br />
11044 S 323.40 0.00 0.00<br />
11045 S 104.02 0.00 0.00<br />
11046 S 104.02 0.00 0.00<br />
11047 S 323.40 0.00 0.00<br />
11055 S 31.73 0.00 0.00<br />
11056 S 34.67 0.00 0.00<br />
11057 S 34.67 0.00 0.00<br />
11100 S 57.02 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
3 of 100
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