(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 />
11101 S 16.70 0.00 0.00<br />
11200 S 34.67 0.00 0.00<br />
11201 S 7.34 0.00 0.00<br />
11300 S 34.67 0.00 0.00<br />
11301 S 34.67 0.00 0.00<br />
11302 S 34.67 0.00 0.00<br />
11303 S 57.02 0.00 0.00<br />
11305 S 34.67 0.00 0.00<br />
11306 S 34.67 0.00 0.00<br />
11307 S 34.67 0.00 0.00<br />
11308 S 34.67 0.00 0.00<br />
11310 S 34.67 0.00 0.00<br />
11311 S 34.67 0.00 0.00<br />
11312 S 34.67 0.00 0.00<br />
11313 S 34.67 0.00 0.00<br />
11400 S 80.81 0.00 0.00<br />
11401 S 91.17 0.00 0.00<br />
11402 S 100.18 0.00 0.00<br />
11403 S 108.19 0.00 0.00<br />
11404 S 688.40 0.00 0.00<br />
11406 S 688.40 0.00 0.00<br />
11420 S 76.14 0.00 0.00<br />
11421 S 92.50 0.00 0.00<br />
11422 S 101.18 0.00 0.00<br />
11423 S 112.54 0.00 0.00<br />
11424 S 688.40 0.00 0.00<br />
11426 S 910.03 0.00 0.00<br />
11440 S 86.16 0.00 0.00<br />
11441 S 100.18 0.00 0.00<br />
11442 S 110.87 0.00 0.00<br />
11443 S 123.22 0.00 0.00<br />
11444 S 323.40 0.00 0.00<br />
11446 S 910.03 0.00 0.00<br />
11450 S 910.03 0.00 0.00<br />
11451 S 910.03 0.00 0.00<br />
11462 S 910.03 0.00 0.00<br />
11463 S 910.03 0.00 0.00<br />
11470 S 910.03 0.00 0.00<br />
11471 S 910.03 0.00 0.00<br />
11600 S 115.88 0.00 0.00<br />
11601 S 138.25 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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