(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 />
50957 S 1,002.74 0.00 0.00<br />
50961 S 1,002.74 0.00 0.00<br />
50970 S 283.33 0.00 0.00<br />
50972 S 283.33 0.00 0.00<br />
50974 S 669.19 0.00 0.00<br />
50976 S 669.19 0.00 0.00<br />
50980 S 1,002.74 0.00 0.00<br />
51020 S 1,002.74 0.00 0.00<br />
51030 S 1,002.74 0.00 0.00<br />
51040 S 1,002.74 0.00 0.00<br />
51045 S 283.33 0.00 0.00<br />
51050 S 1,002.74 0.00 0.00<br />
51065 S 1,002.74 0.00 0.00<br />
51080 S 769.18 0.00 0.00<br />
51100 S 34.07 0.00 0.00<br />
51101 S 42.30 0.00 0.00<br />
51102 S 764.95 0.00 0.00<br />
51500 S 1,259.61 0.00 0.00<br />
51520 S 1,002.74 0.00 0.00<br />
51535 S 1,002.74 0.00 0.00<br />
51700 S 54.10 0.00 0.00<br />
51701 S 25.56 0.00 0.00<br />
51702 S 25.56 0.00 0.00<br />
51703 S 42.30 0.00 0.00<br />
51705 S 73.13 0.00 0.00<br />
51710 S 241.03 0.00 0.00<br />
51715 S 1,243.68 0.00 0.00<br />
51720 S 58.77 0.00 0.00<br />
51725 TC S 122.30 0.00 0.00<br />
51726 TC S 122.30 0.00 0.00<br />
51727 TC S 122.30 0.00 0.00<br />
51728 TC S 122.30 0.00 0.00<br />
51729 TC S 122.30 0.00 0.00<br />
51736 TC S 22.37 0.00 0.00<br />
51741 TC S 25.71 0.00 0.00<br />
51784 TC S 42.30 0.00 0.00<br />
51785 TC S 77.57 0.00 0.00<br />
51792 TC S 42.30 0.00 0.00<br />
51797 TC S 77.57 0.00 0.00<br />
51798 S 19.04 0.00 0.00<br />
51880 S 1,002.74 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
64 of 100
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