(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 />
28220 S 253.79 0.00 0.00<br />
28222 S 860.40 0.00 0.00<br />
28225 S 860.40 0.00 0.00<br />
28226 S 860.40 0.00 0.00<br />
28230 S 248.44 0.00 0.00<br />
28232 S 238.76 0.00 0.00<br />
28234 S 860.40 0.00 0.00<br />
28238 S 2,104.15 0.00 0.00<br />
28240 S 860.40 0.00 0.00<br />
28250 S 860.40 0.00 0.00<br />
28260 S 860.40 0.00 0.00<br />
28261 S 860.40 0.00 0.00<br />
28262 S 860.40 0.00 0.00<br />
28264 S 2,104.15 0.00 0.00<br />
28270 S 860.40 0.00 0.00<br />
28272 S 229.42 0.00 0.00<br />
28280 S 860.40 0.00 0.00<br />
28285 S 860.40 0.00 0.00<br />
28286 S 860.40 0.00 0.00<br />
28288 S 860.40 0.00 0.00<br />
28289 S 860.40 0.00 0.00<br />
28290 S 1,265.92 0.00 0.00<br />
28292 S 1,265.92 0.00 0.00<br />
28293 S 1,265.92 0.00 0.00<br />
28294 S 1,265.92 0.00 0.00<br />
28296 S 1,265.92 0.00 0.00<br />
28297 S 1,265.92 0.00 0.00<br />
28298 S 1,265.92 0.00 0.00<br />
28299 S 1,265.92 0.00 0.00<br />
28300 S 2,104.15 0.00 0.00<br />
28302 S 860.40 0.00 0.00<br />
28304 S 2,104.15 0.00 0.00<br />
28305 S 2,104.15 0.00 0.00<br />
28306 S 860.40 0.00 0.00<br />
28307 S 860.40 0.00 0.00<br />
28308 S 860.40 0.00 0.00<br />
28309 S 2,104.15 0.00 0.00<br />
28310 S 860.40 0.00 0.00<br />
28312 S 860.40 0.00 0.00<br />
28313 S 860.40 0.00 0.00<br />
28315 S 860.40 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
38 of 100
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