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(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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