(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 />
31513 S 76.59 0.00 0.00<br />
31515 S 835.63 0.00 0.00<br />
31520 S 76.59 0.00 0.00<br />
31525 S 835.63 0.00 0.00<br />
31526 S 835.63 0.00 0.00<br />
31527 S 1,178.40 0.00 0.00<br />
31528 S 835.63 0.00 0.00<br />
31529 S 835.63 0.00 0.00<br />
31530 S 835.63 0.00 0.00<br />
31531 S 835.63 0.00 0.00<br />
31535 S 835.63 0.00 0.00<br />
31536 S 835.63 0.00 0.00<br />
31540 S 835.63 0.00 0.00<br />
31541 S 835.63 0.00 0.00<br />
31545 S 1,178.40 0.00 0.00<br />
31546 S 1,178.40 0.00 0.00<br />
31560 S 1,178.40 0.00 0.00<br />
31561 S 1,178.40 0.00 0.00<br />
31570 S 835.63 0.00 0.00<br />
31571 S 1,178.40 0.00 0.00<br />
31575 S 72.47 0.00 0.00<br />
31576 S 835.63 0.00 0.00<br />
31577 S 160.88 0.00 0.00<br />
31578 S 1,178.40 0.00 0.00<br />
31579 S 127.23 0.00 0.00<br />
31580 S 1,701.74 0.00 0.00<br />
31582 S 1,701.74 0.00 0.00<br />
31588 S 1,701.74 0.00 0.00<br />
31590 S 1,701.74 0.00 0.00<br />
31595 S 1,701.74 0.00 0.00<br />
31603 S 301.56 0.00 0.00<br />
31605 S 301.56 0.00 0.00<br />
31611 S 976.62 0.00 0.00<br />
31612 S 976.62 0.00 0.00<br />
31613 S 976.62 0.00 0.00<br />
31614 S 1,701.74 0.00 0.00<br />
31615 S 301.56 0.00 0.00<br />
31622 S 399.85 0.00 0.00<br />
31623 S 399.85 0.00 0.00<br />
31624 S 399.85 0.00 0.00<br />
31625 S 399.85 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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