(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 />
28600 S 60.11 0.00 0.00<br />
28605 S 60.11 0.00 0.00<br />
28606 S 1,011.16 0.00 0.00<br />
28615 S 1,832.80 0.00 0.00<br />
28630 S 60.11 0.00 0.00<br />
28635 S 592.17 0.00 0.00<br />
28636 S 1,011.16 0.00 0.00<br />
28645 S 1,011.16 0.00 0.00<br />
28660 S 56.77 0.00 0.00<br />
28665 S 592.17 0.00 0.00<br />
28666 S 1,011.16 0.00 0.00<br />
28675 S 1,011.16 0.00 0.00<br />
28705 S 2,104.15 0.00 0.00<br />
28715 S 3,388.51 0.00 0.00<br />
28725 S 2,104.15 0.00 0.00<br />
28730 S 2,104.15 0.00 0.00<br />
28735 S 2,104.15 0.00 0.00<br />
28737 S 2,104.15 0.00 0.00<br />
28740 S 2,104.15 0.00 0.00<br />
28750 S 2,104.15 0.00 0.00<br />
28755 S 860.40 0.00 0.00<br />
28760 S 2,104.15 0.00 0.00<br />
28810 S 860.40 0.00 0.00<br />
28820 S 860.40 0.00 0.00<br />
28825 S 860.40 0.00 0.00<br />
28890 S 201.70 0.00 0.00<br />
29000 S 42.65 0.00 0.00<br />
29010 S 96.97 0.00 0.00<br />
29015 S 96.97 0.00 0.00<br />
29020 S 42.65 0.00 0.00<br />
29025 S 42.65 0.00 0.00<br />
29035 S 96.97 0.00 0.00<br />
29040 S 42.65 0.00 0.00<br />
29044 S 96.97 0.00 0.00<br />
29046 S 96.97 0.00 0.00<br />
29049 S 42.65 0.00 0.00<br />
29055 S 96.97 0.00 0.00<br />
29058 S 42.65 0.00 0.00<br />
29065 S 55.43 0.00 0.00<br />
29075 S 53.43 0.00 0.00<br />
29085 S 42.65 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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