(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 />
33210 S 1,988.25 0.00 0.00<br />
33211 S 1,988.25 0.00 0.00<br />
33212 S 5,704.42 3,345.07 985.72<br />
33213 S 6,484.38 3,777.93 1,071.46<br />
33214 S 8,249.28 4,814.18 1,379.08<br />
33215 S 865.69 0.00 0.00<br />
33216 S 1,988.25 0.00 0.00<br />
33217 S 1,988.25 0.00 0.00<br />
33218 S 865.69 0.00 0.00<br />
33220 S 865.69 0.00 0.00<br />
33222 S 655.40 0.00 0.00<br />
33223 S 655.40 0.00 0.00<br />
33224 S 9,212.35 5,400.46 1,588.55<br />
33225 S 9,212.35 5,400.46 1,588.55<br />
33226 S 865.69 0.00 0.00<br />
33233 S 865.69 0.00 0.00<br />
33234 S 865.69 0.00 0.00<br />
33235 S 865.69 0.00 0.00<br />
33240 S 21,831.80 11,668.98 1,506.16<br />
33241 S 865.69 0.00 0.00<br />
33249 S 24,925.12 13,391.11 1,857.10<br />
33282 S 4,631.38 2,749.70 868.02<br />
33284 S 323.40 0.00 0.00<br />
34490 S 1,588.68 0.00 0.00<br />
35188 S 1,588.68 0.00 0.00<br />
35207 S 1,588.68 0.00 0.00<br />
35460 S 2,089.91 0.00 0.00<br />
35475 S 2,089.91 0.00 0.00<br />
35476 S 2,089.91 0.00 0.00<br />
35761 S 1,389.38 0.00 0.00<br />
35875 S 1,588.68 0.00 0.00<br />
35876 S 1,588.68 0.00 0.00<br />
36002 S 84.57 0.00 0.00<br />
36147 S 89.38 0.00 0.00<br />
36260 S 1,171.92 0.00 0.00<br />
36261 S 865.69 0.00 0.00<br />
36262 S 865.69 0.00 0.00<br />
36420 S 10.18 0.00 0.00<br />
36425 S 10.18 0.00 0.00<br />
36430 S 34.07 0.00 0.00<br />
36440 S 129.16 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
48 of 100
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