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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 />

27335 S 1,227.81 0.00 0.00<br />

27337 S 910.03 0.00 0.00<br />

27339 S 910.03 0.00 0.00<br />

27340 S 874.83 0.00 0.00<br />

27345 S 874.83 0.00 0.00<br />

27347 S 874.83 0.00 0.00<br />

27350 S 1,227.81 0.00 0.00<br />

27355 S 1,227.81 0.00 0.00<br />

27356 S 1,227.81 0.00 0.00<br />

27357 S 1,227.81 0.00 0.00<br />

27358 S 1,227.81 0.00 0.00<br />

27360 S 1,227.81 0.00 0.00<br />

27364 S 910.03 0.00 0.00<br />

27372 S 910.03 0.00 0.00<br />

27380 S 874.83 0.00 0.00<br />

27381 S 874.83 0.00 0.00<br />

27385 S 874.83 0.00 0.00<br />

27386 S 874.83 0.00 0.00<br />

27390 S 874.83 0.00 0.00<br />

27391 S 874.83 0.00 0.00<br />

27392 S 874.83 0.00 0.00<br />

27393 S 1,227.81 0.00 0.00<br />

27394 S 1,227.81 0.00 0.00<br />

27395 S 1,801.94 0.00 0.00<br />

27396 S 1,227.81 0.00 0.00<br />

27397 S 1,801.94 0.00 0.00<br />

27400 S 1,801.94 0.00 0.00<br />

27403 S 1,227.81 0.00 0.00<br />

27405 S 1,801.94 0.00 0.00<br />

27407 S 3,388.51 0.00 0.00<br />

27409 S 3,388.51 0.00 0.00<br />

27416 S 1,801.94 0.00 0.00<br />

27418 S 1,801.94 0.00 0.00<br />

27420 S 1,801.94 0.00 0.00<br />

27422 S 1,801.94 0.00 0.00<br />

27424 S 1,801.94 0.00 0.00<br />

27425 S 1,227.81 0.00 0.00<br />

27427 S 3,388.51 0.00 0.00<br />

27428 S 3,388.51 0.00 0.00<br />

27429 S 3,388.51 0.00 0.00<br />

27430 S 1,801.94 0.00 0.00<br />

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

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

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