(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 />
57454 S 61.45 0.00 0.00<br />
57455 S 63.78 0.00 0.00<br />
57456 S 61.45 0.00 0.00<br />
57460 S 176.98 0.00 0.00<br />
57461 S 189.35 0.00 0.00<br />
57500 S 81.81 0.00 0.00<br />
57505 S 54.10 0.00 0.00<br />
57510 S 56.44 0.00 0.00<br />
57511 S 62.25 0.00 0.00<br />
57513 S 787.39 0.00 0.00<br />
57520 S 787.39 0.00 0.00<br />
57522 S 787.39 0.00 0.00<br />
57530 S 1,358.42 0.00 0.00<br />
57550 S 1,358.42 0.00 0.00<br />
57556 S 1,728.54 0.00 0.00<br />
57558 S 787.39 0.00 0.00<br />
57700 S 787.39 0.00 0.00<br />
57720 S 787.39 0.00 0.00<br />
57800 S 29.39 0.00 0.00<br />
58100 S 48.76 0.00 0.00<br />
58120 S 787.39 0.00 0.00<br />
58145 S 1,358.42 0.00 0.00<br />
58301 S 45.08 0.00 0.00<br />
58321 S 41.07 0.00 0.00<br />
58322 S 42.74 0.00 0.00<br />
58323 S 8.34 0.00 0.00<br />
58345 S 787.39 0.00 0.00<br />
58346 S 787.39 0.00 0.00<br />
58350 S 1,358.42 0.00 0.00<br />
58353 S 1,358.42 0.00 0.00<br />
58356 S 1,717.44 0.00 0.00<br />
58545 S 1,471.80 0.00 0.00<br />
58546 S 1,821.89 0.00 0.00<br />
58550 S 2,707.33 0.00 0.00<br />
58552 S 1,821.89 0.00 0.00<br />
58555 S 878.97 0.00 0.00<br />
58558 S 878.97 0.00 0.00<br />
58559 S 878.97 0.00 0.00<br />
58560 S 1,465.80 0.00 0.00<br />
58561 S 1,465.80 0.00 0.00<br />
58562 S 878.97 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
72 of 100
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