(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 />
37718 S 1,045.38 0.00 0.00<br />
37722 S 1,675.23 0.00 0.00<br />
37735 S 1,675.23 0.00 0.00<br />
37760 S 1,045.38 0.00 0.00<br />
37761 S 1,045.38 0.00 0.00<br />
37765 S 355.31 0.00 0.00<br />
37766 S 402.73 0.00 0.00<br />
37780 S 1,045.38 0.00 0.00<br />
37785 S 1,045.38 0.00 0.00<br />
37790 S 1,368.80 0.00 0.00<br />
38206 S 471.69 0.00 0.00<br />
38220 S 108.86 0.00 0.00<br />
38221 S 112.20 0.00 0.00<br />
38230 S 1,197.68 0.00 0.00<br />
38241 S 1,197.68 0.00 0.00<br />
38242 S 471.69 0.00 0.00<br />
38300 S 495.51 0.00 0.00<br />
38305 S 769.18 0.00 0.00<br />
38308 S 954.28 0.00 0.00<br />
38500 S 954.28 0.00 0.00<br />
38505 S 309.81 0.00 0.00<br />
38510 S 954.28 0.00 0.00<br />
38520 S 954.28 0.00 0.00<br />
38525 S 954.28 0.00 0.00<br />
38530 S 954.28 0.00 0.00<br />
38542 S 1,933.70 0.00 0.00<br />
38550 S 954.28 0.00 0.00<br />
38555 S 954.28 0.00 0.00<br />
38570 S 1,821.89 0.00 0.00<br />
38571 S 2,707.33 0.00 0.00<br />
38572 S 1,821.89 0.00 0.00<br />
38700 S 954.28 0.00 0.00<br />
38740 S 1,933.70 0.00 0.00<br />
38745 S 1,933.70 0.00 0.00<br />
38760 S 954.28 0.00 0.00<br />
40490 S 80.14 0.00 0.00<br />
40500 S 660.24 0.00 0.00<br />
40510 S 976.62 0.00 0.00<br />
40520 S 660.24 0.00 0.00<br />
40525 S 976.62 0.00 0.00<br />
40527 S 976.62 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
51 of 100
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