(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
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
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 />
53420 S 1,243.68 0.00 0.00<br />
53425 S 1,243.68 0.00 0.00<br />
53430 S 1,243.68 0.00 0.00<br />
53431 S 1,243.68 0.00 0.00<br />
53440 S 5,752.57 3,636.39 1,520.19<br />
53442 S 1,243.68 0.00 0.00<br />
53444 S 5,752.57 3,636.39 1,520.19<br />
53445 S 10,000.61 5,916.48 1,832.36<br />
53446 S 1,243.68 0.00 0.00<br />
53447 S 10,000.61 5,916.48 1,832.36<br />
53449 S 1,243.68 0.00 0.00<br />
53450 S 1,243.68 0.00 0.00<br />
53460 S 826.02 0.00 0.00<br />
53502 S 826.02 0.00 0.00<br />
53505 S 1,243.68 0.00 0.00<br />
53510 S 826.02 0.00 0.00<br />
53515 S 1,243.68 0.00 0.00<br />
53520 S 1,243.68 0.00 0.00<br />
53600 S 41.74 0.00 0.00<br />
53601 S 42.30 0.00 0.00<br />
53605 S 669.19 0.00 0.00<br />
53620 S 62.45 0.00 0.00<br />
53621 S 65.78 0.00 0.00<br />
53660 S 42.30 0.00 0.00<br />
53661 S 42.30 0.00 0.00<br />
53665 S 826.02 0.00 0.00<br />
53850 S 1,769.55 0.00 0.00<br />
53852 S 1,769.55 0.00 0.00<br />
53855 S 77.57 0.00 0.00<br />
53860 S 764.95 0.00 0.00<br />
54000 S 826.02 0.00 0.00<br />
54001 S 826.02 0.00 0.00<br />
54015 S 769.18 0.00 0.00<br />
54050 S 34.67 0.00 0.00<br />
54055 S 71.80 0.00 0.00<br />
54056 S 34.67 0.00 0.00<br />
54057 S 830.00 0.00 0.00<br />
54060 S 830.00 0.00 0.00<br />
54065 S 830.00 0.00 0.00<br />
54100 S 688.40 0.00 0.00<br />
54105 S 910.03 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
67 of 100
Change language