(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 />
27827 S 2,547.68 0.00 0.00<br />
27828 S 2,547.68 0.00 0.00<br />
27829 S 1,832.80 0.00 0.00<br />
27830 S 60.11 0.00 0.00<br />
27831 S 793.40 0.00 0.00<br />
27832 S 1,832.80 0.00 0.00<br />
27840 S 60.11 0.00 0.00<br />
27842 S 592.17 0.00 0.00<br />
27846 S 1,832.80 0.00 0.00<br />
27848 S 1,832.80 0.00 0.00<br />
27860 S 592.17 0.00 0.00<br />
27870 S 3,388.51 0.00 0.00<br />
27871 S 3,388.51 0.00 0.00<br />
27884 S 874.83 0.00 0.00<br />
27889 S 1,227.81 0.00 0.00<br />
27892 S 1,227.81 0.00 0.00<br />
27893 S 1,227.81 0.00 0.00<br />
27894 S 1,227.81 0.00 0.00<br />
28001 S 157.95 0.00 0.00<br />
28002 S 874.83 0.00 0.00<br />
28003 S 874.83 0.00 0.00<br />
28005 S 860.40 0.00 0.00<br />
28008 S 860.40 0.00 0.00<br />
28010 S 115.88 0.00 0.00<br />
28011 S 860.40 0.00 0.00<br />
28020 S 860.40 0.00 0.00<br />
28022 S 860.40 0.00 0.00<br />
28024 S 860.40 0.00 0.00<br />
28035 S 728.55 0.00 0.00<br />
28039 S 278.50 0.00 0.00<br />
28041 S 910.03 0.00 0.00<br />
28043 S 216.73 0.00 0.00<br />
28045 S 281.17 0.00 0.00<br />
28046 S 688.40 0.00 0.00<br />
28047 S 910.03 0.00 0.00<br />
28050 S 860.40 0.00 0.00<br />
28052 S 860.40 0.00 0.00<br />
28054 S 860.40 0.00 0.00<br />
28055 S 728.55 0.00 0.00<br />
28060 S 860.40 0.00 0.00<br />
28062 S 860.40 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
36 of 100
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