(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
http://www.wpsmedicare.com WPS Medicare Ambulatory Surgical Center (ASC) Fee Schedule for Iowa CBSA 26980 Effective January 1, 2011 All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. All rights reserved. HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT 11970 S 1,801.94 0.00 0.00 11971 S 910.03 0.00 0.00 11976 S 72.13 0.00 0.00 11980 S 25.56 0.00 0.00 11981 S 25.56 0.00 0.00 11982 S 25.56 0.00 0.00 11983 S 25.56 0.00 0.00 12001 S 50.75 0.00 0.00 12002 S 50.75 0.00 0.00 12004 S 50.75 0.00 0.00 12005 S 50.75 0.00 0.00 12006 S 50.75 0.00 0.00 12007 S 50.75 0.00 0.00 12011 S 50.75 0.00 0.00 12013 S 50.75 0.00 0.00 12014 S 50.75 0.00 0.00 12015 S 50.75 0.00 0.00 12016 S 50.75 0.00 0.00 12017 S 50.75 0.00 0.00 12018 S 50.75 0.00 0.00 12020 S 176.78 0.00 0.00 12021 S 120.40 0.00 0.00 12031 S 50.75 0.00 0.00 12032 S 120.40 0.00 0.00 12034 S 50.75 0.00 0.00 12035 S 50.75 0.00 0.00 12036 S 120.40 0.00 0.00 12037 S 120.40 0.00 0.00 12041 S 50.75 0.00 0.00 12042 S 50.75 0.00 0.00 12044 S 50.75 0.00 0.00 12045 S 120.40 0.00 0.00 12046 S 120.40 0.00 0.00 12047 S 120.40 0.00 0.00 12051 S 120.40 0.00 0.00 12052 S 50.75 0.00 0.00 12053 S 50.75 0.00 0.00 12054 S 50.75 0.00 0.00 12055 S 120.40 0.00 0.00 12056 S 120.40 0.00 0.00 12057 S 120.40 0.00 0.00 PROCEDURE INDICATORS: S = SURGICAL PROCEDURE, A = ANCILLARY SERVICE, C = CARRIER PRICED 6 of 100
http://www.wpsmedicare.com WPS Medicare Ambulatory Surgical Center (ASC) Fee Schedule for Iowa CBSA 26980 Effective January 1, 2011 All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. All rights reserved. HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT 13100 S 176.78 0.00 0.00 13101 S 176.78 0.00 0.00 13102 S 176.78 0.00 0.00 13120 S 120.40 0.00 0.00 13121 S 120.40 0.00 0.00 13122 S 50.75 0.00 0.00 13131 S 120.40 0.00 0.00 13132 S 176.78 0.00 0.00 13133 S 120.40 0.00 0.00 13150 S 176.78 0.00 0.00 13151 S 176.78 0.00 0.00 13152 S 176.78 0.00 0.00 13153 S 120.40 0.00 0.00 13160 S 848.47 0.00 0.00 14000 S 655.40 0.00 0.00 14001 S 655.40 0.00 0.00 14020 S 655.40 0.00 0.00 14021 S 655.40 0.00 0.00 14040 S 655.40 0.00 0.00 14041 S 655.40 0.00 0.00 14060 S 655.40 0.00 0.00 14061 S 655.40 0.00 0.00 14301 S 848.47 0.00 0.00 14302 S 848.47 0.00 0.00 14350 S 848.47 0.00 0.00 15002 S 176.78 0.00 0.00 15003 S 176.78 0.00 0.00 15004 S 176.78 0.00 0.00 15005 S 176.78 0.00 0.00 15040 S 120.40 0.00 0.00 15050 S 176.78 0.00 0.00 15100 S 848.47 0.00 0.00 15101 S 848.47 0.00 0.00 15110 S 176.78 0.00 0.00 15111 S 176.78 0.00 0.00 15115 S 176.78 0.00 0.00 15116 S 176.78 0.00 0.00 15120 S 848.47 0.00 0.00 15121 S 848.47 0.00 0.00 15130 S 655.40 0.00 0.00 15131 S 655.40 0.00 0.00 PROCEDURE INDICATORS: S = SURGICAL PROCEDURE, A = ANCILLARY SERVICE, C = CARRIER PRICED 7 of 100
- Page 1 and 2: http://www.wpsmedicare.com WPS Medi
- Page 3 and 4: http://www.wpsmedicare.com WPS Medi
- Page 5: http://www.wpsmedicare.com WPS Medi
- Page 9 and 10: http://www.wpsmedicare.com WPS Medi
- Page 11 and 12: http://www.wpsmedicare.com WPS Medi
- Page 13 and 14: http://www.wpsmedicare.com WPS Medi
- Page 15 and 16: http://www.wpsmedicare.com WPS Medi
- Page 17 and 18: http://www.wpsmedicare.com WPS Medi
- Page 19 and 20: http://www.wpsmedicare.com WPS Medi
- Page 21 and 22: http://www.wpsmedicare.com WPS Medi
- Page 23 and 24: http://www.wpsmedicare.com WPS Medi
- Page 25 and 26: http://www.wpsmedicare.com WPS Medi
- Page 27 and 28: http://www.wpsmedicare.com WPS Medi
- Page 29 and 30: http://www.wpsmedicare.com WPS Medi
- Page 31 and 32: http://www.wpsmedicare.com WPS Medi
- Page 33 and 34: http://www.wpsmedicare.com WPS Medi
- Page 35 and 36: http://www.wpsmedicare.com WPS Medi
- Page 37 and 38: http://www.wpsmedicare.com WPS Medi
- Page 39 and 40: http://www.wpsmedicare.com WPS Medi
- Page 41 and 42: http://www.wpsmedicare.com WPS Medi
- Page 43 and 44: http://www.wpsmedicare.com WPS Medi
- Page 45 and 46: http://www.wpsmedicare.com WPS Medi
- Page 47 and 48: http://www.wpsmedicare.com WPS Medi
- Page 49 and 50: http://www.wpsmedicare.com WPS Medi
- Page 51 and 52: http://www.wpsmedicare.com WPS Medi
- Page 53 and 54: http://www.wpsmedicare.com WPS Medi
- Page 55 and 56: http://www.wpsmedicare.com WPS Medi
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 />
11970 S 1,801.94 0.00 0.00<br />
11971 S 910.03 0.00 0.00<br />
11976 S 72.13 0.00 0.00<br />
11980 S 25.56 0.00 0.00<br />
11981 S 25.56 0.00 0.00<br />
11982 S 25.56 0.00 0.00<br />
11983 S 25.56 0.00 0.00<br />
12001 S 50.75 0.00 0.00<br />
12002 S 50.75 0.00 0.00<br />
12004 S 50.75 0.00 0.00<br />
12005 S 50.75 0.00 0.00<br />
12006 S 50.75 0.00 0.00<br />
12007 S 50.75 0.00 0.00<br />
12011 S 50.75 0.00 0.00<br />
12013 S 50.75 0.00 0.00<br />
12014 S 50.75 0.00 0.00<br />
12015 S 50.75 0.00 0.00<br />
12016 S 50.75 0.00 0.00<br />
12017 S 50.75 0.00 0.00<br />
12018 S 50.75 0.00 0.00<br />
12020 S 176.78 0.00 0.00<br />
12021 S 120.40 0.00 0.00<br />
12031 S 50.75 0.00 0.00<br />
12032 S 120.40 0.00 0.00<br />
12034 S 50.75 0.00 0.00<br />
12035 S 50.75 0.00 0.00<br />
12036 S 120.40 0.00 0.00<br />
12037 S 120.40 0.00 0.00<br />
12041 S 50.75 0.00 0.00<br />
12042 S 50.75 0.00 0.00<br />
12044 S 50.75 0.00 0.00<br />
12045 S 120.40 0.00 0.00<br />
12046 S 120.40 0.00 0.00<br />
12047 S 120.40 0.00 0.00<br />
12051 S 120.40 0.00 0.00<br />
12052 S 50.75 0.00 0.00<br />
12053 S 50.75 0.00 0.00<br />
12054 S 50.75 0.00 0.00<br />
12055 S 120.40 0.00 0.00<br />
12056 S 120.40 0.00 0.00<br />
12057 S 120.40 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
6 of 100
Change language