(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 />
30140 S 976.62 0.00 0.00<br />
30150 S 1,701.74 0.00 0.00<br />
30160 S 1,701.74 0.00 0.00<br />
30200 S 80.81 0.00 0.00<br />
30210 S 102.86 0.00 0.00<br />
30220 S 301.56 0.00 0.00<br />
30300 S 25.56 0.00 0.00<br />
30310 S 660.24 0.00 0.00<br />
30320 S 660.24 0.00 0.00<br />
30400 S 1,701.74 0.00 0.00<br />
30410 S 1,701.74 0.00 0.00<br />
30420 S 1,701.74 0.00 0.00<br />
30430 S 976.62 0.00 0.00<br />
30435 S 1,701.74 0.00 0.00<br />
30450 S 1,701.74 0.00 0.00<br />
30460 S 1,701.74 0.00 0.00<br />
30462 S 1,701.74 0.00 0.00<br />
30465 S 1,701.74 0.00 0.00<br />
30520 S 976.62 0.00 0.00<br />
30540 S 1,701.74 0.00 0.00<br />
30545 S 1,701.74 0.00 0.00<br />
30560 S 135.33 0.00 0.00<br />
30580 S 1,701.74 0.00 0.00<br />
30600 S 1,701.74 0.00 0.00<br />
30620 S 1,701.74 0.00 0.00<br />
30630 S 976.62 0.00 0.00<br />
30801 S 301.56 0.00 0.00<br />
30802 S 660.24 0.00 0.00<br />
30901 S 43.15 0.00 0.00<br />
30903 S 43.15 0.00 0.00<br />
30905 S 43.15 0.00 0.00<br />
30906 S 43.15 0.00 0.00<br />
30915 S 1,045.38 0.00 0.00<br />
30920 S 1,045.38 0.00 0.00<br />
30930 S 660.24 0.00 0.00<br />
31000 S 130.57 0.00 0.00<br />
31002 S 301.56 0.00 0.00<br />
31020 S 976.62 0.00 0.00<br />
31030 S 1,701.74 0.00 0.00<br />
31032 S 1,701.74 0.00 0.00<br />
31040 S 976.62 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
44 of 100
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