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(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 />

44388 S 355.72 0.00 0.00<br />

44389 S 355.72 0.00 0.00<br />

44390 S 355.72 0.00 0.00<br />

44391 S 355.72 0.00 0.00<br />

44392 S 355.72 0.00 0.00<br />

44393 S 355.72 0.00 0.00<br />

44394 S 355.72 0.00 0.00<br />

44397 S 1,058.97 0.00 0.00<br />

44500 S 241.03 0.00 0.00<br />

45000 S 613.54 0.00 0.00<br />

45005 S 613.54 0.00 0.00<br />

45020 S 613.54 0.00 0.00<br />

45100 S 927.02 0.00 0.00<br />

45108 S 927.02 0.00 0.00<br />

45150 S 927.02 0.00 0.00<br />

45160 S 927.02 0.00 0.00<br />

45171 S 613.54 0.00 0.00<br />

45172 S 927.02 0.00 0.00<br />

45190 S 927.02 0.00 0.00<br />

45300 S 80.81 0.00 0.00<br />

45303 S 361.91 0.00 0.00<br />

45305 S 361.91 0.00 0.00<br />

45307 S 929.28 0.00 0.00<br />

45308 S 361.91 0.00 0.00<br />

45309 S 361.91 0.00 0.00<br />

45315 S 361.91 0.00 0.00<br />

45317 S 361.91 0.00 0.00<br />

45320 S 929.28 0.00 0.00<br />

45321 S 929.28 0.00 0.00<br />

45327 S 1,058.97 0.00 0.00<br />

45330 S 98.51 0.00 0.00<br />

45331 S 220.79 0.00 0.00<br />

45332 S 220.79 0.00 0.00<br />

45333 S 361.91 0.00 0.00<br />

45334 S 361.91 0.00 0.00<br />

45335 S 220.79 0.00 0.00<br />

45337 S 220.79 0.00 0.00<br />

45338 S 361.91 0.00 0.00<br />

45339 S 361.91 0.00 0.00<br />

45340 S 361.91 0.00 0.00<br />

45341 S 361.91 0.00 0.00<br />

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

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

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