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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 />

46947 S 1,243.63 0.00 0.00<br />

47000 S 370.71 0.00 0.00<br />

47382 S 2,153.97 0.00 0.00<br />

47510 S 1,208.45 0.00 0.00<br />

47511 S 1,208.45 0.00 0.00<br />

47525 S 621.34 0.00 0.00<br />

47530 S 621.34 0.00 0.00<br />

47552 S 1,208.45 0.00 0.00<br />

47553 S 1,208.45 0.00 0.00<br />

47554 S 1,208.45 0.00 0.00<br />

47555 S 1,208.45 0.00 0.00<br />

47556 S 1,208.45 0.00 0.00<br />

47560 S 1,471.80 0.00 0.00<br />

47561 S 1,471.80 0.00 0.00<br />

47562 S 1,821.89 0.00 0.00<br />

47563 S 1,821.89 0.00 0.00<br />

47564 S 1,821.89 0.00 0.00<br />

47630 S 1,208.45 0.00 0.00<br />

48102 S 370.71 0.00 0.00<br />

49080 S 211.83 0.00 0.00<br />

49081 S 211.83 0.00 0.00<br />

49180 S 370.71 0.00 0.00<br />

49250 S 1,008.43 0.00 0.00<br />

49320 S 1,471.80 0.00 0.00<br />

49321 S 1,471.80 0.00 0.00<br />

49322 S 1,471.80 0.00 0.00<br />

49324 S 1,471.80 0.00 0.00<br />

49325 S 1,471.80 0.00 0.00<br />

49326 S 1,471.80 0.00 0.00<br />

49327 S 1,471.80 0.00 0.00<br />

49402 S 1,008.43 0.00 0.00<br />

49411 S 373.68 0.00 0.00<br />

49418 S 1,180.48 0.00 0.00<br />

49419 S 1,336.05 0.00 0.00<br />

49421 S 1,180.48 0.00 0.00<br />

49422 S 865.69 0.00 0.00<br />

49423 S 621.34 0.00 0.00<br />

49426 S 1,008.43 0.00 0.00<br />

49429 S 865.69 0.00 0.00<br />

49435 S 621.34 0.00 0.00<br />

49436 S 621.34 0.00 0.00<br />

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

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

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