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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 />

36593 S 28.05 0.00 0.00<br />

36595 S 977.55 0.00 0.00<br />

36596 S 432.94 0.00 0.00<br />

36597 S 432.94 0.00 0.00<br />

36598 S 85.15 0.00 0.00<br />

36640 S 1,171.92 0.00 0.00<br />

36680 S 59.80 0.00 0.00<br />

36800 S 1,336.05 0.00 0.00<br />

36810 S 1,336.05 0.00 0.00<br />

36815 S 1,336.05 0.00 0.00<br />

36818 S 1,588.68 0.00 0.00<br />

36819 S 1,588.68 0.00 0.00<br />

36820 S 1,588.68 0.00 0.00<br />

36821 S 1,588.68 0.00 0.00<br />

36825 S 1,588.68 0.00 0.00<br />

36830 S 1,588.68 0.00 0.00<br />

36831 S 1,588.68 0.00 0.00<br />

36832 S 1,588.68 0.00 0.00<br />

36833 S 1,588.68 0.00 0.00<br />

36835 S 1,336.05 0.00 0.00<br />

36860 S 89.38 0.00 0.00<br />

36861 S 1,336.05 0.00 0.00<br />

36870 S 1,717.36 0.00 0.00<br />

37184 S 1,588.68 0.00 0.00<br />

37185 S 1,588.68 0.00 0.00<br />

37186 S 1,588.68 0.00 0.00<br />

37187 S 1,588.68 0.00 0.00<br />

37188 S 1,588.68 0.00 0.00<br />

37200 S 1,171.92 0.00 0.00<br />

37203 S 1,171.92 0.00 0.00<br />

37204 S 3,530.86 0.00 0.00<br />

37210 S 4,436.84 0.00 0.00<br />

37220 S 2,089.91 0.00 0.00<br />

37221 S 2,089.91 0.00 0.00<br />

37222 S 2,089.91 0.00 0.00<br />

37223 S 2,089.91 0.00 0.00<br />

37500 S 1,675.23 0.00 0.00<br />

37607 S 1,045.38 0.00 0.00<br />

37609 S 688.40 0.00 0.00<br />

37650 S 1,045.38 0.00 0.00<br />

37700 S 1,045.38 0.00 0.00<br />

PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />

A = ANCILLARY SERVICE, C = CARRIER PRICED<br />

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