(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 />
41100 S 110.87 0.00 0.00<br />
41105 S 110.87 0.00 0.00<br />
41108 S 102.19 0.00 0.00<br />
41110 S 147.94 0.00 0.00<br />
41112 S 660.24 0.00 0.00<br />
41113 S 660.24 0.00 0.00<br />
41114 S 976.62 0.00 0.00<br />
41115 S 170.31 0.00 0.00<br />
41116 S 660.24 0.00 0.00<br />
41120 S 976.62 0.00 0.00<br />
41250 S 43.15 0.00 0.00<br />
41251 S 135.33 0.00 0.00<br />
41252 S 301.56 0.00 0.00<br />
41500 S 976.62 0.00 0.00<br />
41510 S 660.24 0.00 0.00<br />
41512 S 301.56 0.00 0.00<br />
41520 S 301.56 0.00 0.00<br />
41530 S 976.62 0.00 0.00<br />
41800 S 56.76 0.00 0.00<br />
41805 S 183.33 0.00 0.00<br />
41806 S 236.76 0.00 0.00<br />
41820 S 301.56 0.00 0.00<br />
41821 S 301.56 0.00 0.00<br />
41822 S 188.34 0.00 0.00<br />
41823 S 272.50 0.00 0.00<br />
41825 S 149.27 0.00 0.00<br />
41826 S 200.36 0.00 0.00<br />
41827 S 976.62 0.00 0.00<br />
41828 S 175.99 0.00 0.00<br />
41830 S 246.45 0.00 0.00<br />
41850 S 660.24 0.00 0.00<br />
41870 S 976.62 0.00 0.00<br />
41872 S 239.10 0.00 0.00<br />
41874 S 237.09 0.00 0.00<br />
42000 S 135.33 0.00 0.00<br />
42100 S 95.17 0.00 0.00<br />
42104 S 143.93 0.00 0.00<br />
42106 S 179.99 0.00 0.00<br />
42107 S 976.62 0.00 0.00<br />
42120 S 1,701.74 0.00 0.00<br />
42140 S 301.56 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
53 of 100
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