(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 />
42660 S 62.45 0.00 0.00<br />
42665 S 976.62 0.00 0.00<br />
42700 S 135.33 0.00 0.00<br />
42720 S 660.24 0.00 0.00<br />
42725 S 1,701.74 0.00 0.00<br />
42800 S 102.19 0.00 0.00<br />
42802 S 660.24 0.00 0.00<br />
42804 S 660.24 0.00 0.00<br />
42806 S 976.62 0.00 0.00<br />
42808 S 976.62 0.00 0.00<br />
42809 S 25.56 0.00 0.00<br />
42810 S 976.62 0.00 0.00<br />
42815 S 1,701.74 0.00 0.00<br />
42820 S 976.62 0.00 0.00<br />
42821 S 976.62 0.00 0.00<br />
42825 S 976.62 0.00 0.00<br />
42826 S 976.62 0.00 0.00<br />
42830 S 976.62 0.00 0.00<br />
42831 S 976.62 0.00 0.00<br />
42835 S 976.62 0.00 0.00<br />
42836 S 976.62 0.00 0.00<br />
42860 S 976.62 0.00 0.00<br />
42870 S 976.62 0.00 0.00<br />
42890 S 1,701.74 0.00 0.00<br />
42892 S 1,701.74 0.00 0.00<br />
42900 S 301.56 0.00 0.00<br />
42950 S 976.62 0.00 0.00<br />
42955 S 976.62 0.00 0.00<br />
42960 S 43.15 0.00 0.00<br />
42962 S 1,701.74 0.00 0.00<br />
42970 S 43.15 0.00 0.00<br />
42972 S 660.24 0.00 0.00<br />
43030 S 660.24 0.00 0.00<br />
43130 S 1,701.74 0.00 0.00<br />
43200 S 338.20 0.00 0.00<br />
43201 S 338.20 0.00 0.00<br />
43202 S 338.20 0.00 0.00<br />
43204 S 338.20 0.00 0.00<br />
43205 S 338.20 0.00 0.00<br />
43215 S 338.20 0.00 0.00<br />
43216 S 635.10 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
55 of 100
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