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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 />

45342 S 361.91 0.00 0.00<br />

45345 S 1,058.97 0.00 0.00<br />

45355 S 355.72 0.00 0.00<br />

45378 S 355.72 0.00 0.00<br />

45379 S 355.72 0.00 0.00<br />

45380 S 355.72 0.00 0.00<br />

45381 S 355.72 0.00 0.00<br />

45382 S 355.72 0.00 0.00<br />

45383 S 355.72 0.00 0.00<br />

45384 S 355.72 0.00 0.00<br />

45385 S 355.72 0.00 0.00<br />

45386 S 355.72 0.00 0.00<br />

45387 S 1,058.97 0.00 0.00<br />

45391 S 355.72 0.00 0.00<br />

45392 S 355.72 0.00 0.00<br />

45500 S 927.02 0.00 0.00<br />

45505 S 1,243.63 0.00 0.00<br />

45520 S 34.67 0.00 0.00<br />

45541 S 1,243.63 0.00 0.00<br />

45560 S 1,243.63 0.00 0.00<br />

45900 S 229.07 0.00 0.00<br />

45905 S 927.02 0.00 0.00<br />

45910 S 927.02 0.00 0.00<br />

45915 S 613.54 0.00 0.00<br />

45990 S 927.02 0.00 0.00<br />

46020 S 927.02 0.00 0.00<br />

46030 S 229.07 0.00 0.00<br />

46040 S 927.02 0.00 0.00<br />

46045 S 927.02 0.00 0.00<br />

46050 S 613.54 0.00 0.00<br />

46060 S 927.02 0.00 0.00<br />

46070 S 613.54 0.00 0.00<br />

46080 S 927.02 0.00 0.00<br />

46083 S 77.57 0.00 0.00<br />

46200 S 927.02 0.00 0.00<br />

46220 S 613.54 0.00 0.00<br />

46221 S 153.61 0.00 0.00<br />

46230 S 927.02 0.00 0.00<br />

46250 S 927.02 0.00 0.00<br />

46255 S 927.02 0.00 0.00<br />

46257 S 927.02 0.00 0.00<br />

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

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

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