(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 />
13100 S 176.78 0.00 0.00<br />
13101 S 176.78 0.00 0.00<br />
13102 S 176.78 0.00 0.00<br />
13120 S 120.40 0.00 0.00<br />
13121 S 120.40 0.00 0.00<br />
13122 S 50.75 0.00 0.00<br />
13131 S 120.40 0.00 0.00<br />
13132 S 176.78 0.00 0.00<br />
13133 S 120.40 0.00 0.00<br />
13150 S 176.78 0.00 0.00<br />
13151 S 176.78 0.00 0.00<br />
13152 S 176.78 0.00 0.00<br />
13153 S 120.40 0.00 0.00<br />
13160 S 848.47 0.00 0.00<br />
14000 S 655.40 0.00 0.00<br />
14001 S 655.40 0.00 0.00<br />
14020 S 655.40 0.00 0.00<br />
14021 S 655.40 0.00 0.00<br />
14040 S 655.40 0.00 0.00<br />
14041 S 655.40 0.00 0.00<br />
14060 S 655.40 0.00 0.00<br />
14061 S 655.40 0.00 0.00<br />
14301 S 848.47 0.00 0.00<br />
14302 S 848.47 0.00 0.00<br />
14350 S 848.47 0.00 0.00<br />
15002 S 176.78 0.00 0.00<br />
15003 S 176.78 0.00 0.00<br />
15004 S 176.78 0.00 0.00<br />
15005 S 176.78 0.00 0.00<br />
15040 S 120.40 0.00 0.00<br />
15050 S 176.78 0.00 0.00<br />
15100 S 848.47 0.00 0.00<br />
15101 S 848.47 0.00 0.00<br />
15110 S 176.78 0.00 0.00<br />
15111 S 176.78 0.00 0.00<br />
15115 S 176.78 0.00 0.00<br />
15116 S 176.78 0.00 0.00<br />
15120 S 848.47 0.00 0.00<br />
15121 S 848.47 0.00 0.00<br />
15130 S 655.40 0.00 0.00<br />
15131 S 655.40 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
7 of 100
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