(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 />
28320 S 2,104.15 0.00 0.00<br />
28322 S 2,104.15 0.00 0.00<br />
28340 S 860.40 0.00 0.00<br />
28341 S 860.40 0.00 0.00<br />
28344 S 860.40 0.00 0.00<br />
28345 S 860.40 0.00 0.00<br />
28400 S 60.11 0.00 0.00<br />
28405 S 793.40 0.00 0.00<br />
28406 S 1,011.16 0.00 0.00<br />
28415 S 2,547.68 0.00 0.00<br />
28420 S 1,832.80 0.00 0.00<br />
28430 S 60.11 0.00 0.00<br />
28435 S 60.11 0.00 0.00<br />
28436 S 1,011.16 0.00 0.00<br />
28445 S 1,832.80 0.00 0.00<br />
28446 S 2,104.15 0.00 0.00<br />
28450 S 60.11 0.00 0.00<br />
28455 S 60.11 0.00 0.00<br />
28456 S 1,011.16 0.00 0.00<br />
28465 S 1,832.80 0.00 0.00<br />
28470 S 60.11 0.00 0.00<br />
28475 S 60.11 0.00 0.00<br />
28476 S 1,011.16 0.00 0.00<br />
28485 S 1,832.80 0.00 0.00<br />
28490 S 60.11 0.00 0.00<br />
28495 S 60.11 0.00 0.00<br />
28496 S 1,011.16 0.00 0.00<br />
28505 S 1,011.16 0.00 0.00<br />
28510 S 60.11 0.00 0.00<br />
28515 S 60.11 0.00 0.00<br />
28525 S 1,011.16 0.00 0.00<br />
28530 S 60.11 0.00 0.00<br />
28531 S 1,011.16 0.00 0.00<br />
28540 S 60.11 0.00 0.00<br />
28545 S 1,011.16 0.00 0.00<br />
28546 S 1,011.16 0.00 0.00<br />
28555 S 1,832.80 0.00 0.00<br />
28570 S 60.11 0.00 0.00<br />
28575 S 793.40 0.00 0.00<br />
28576 S 1,011.16 0.00 0.00<br />
28585 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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