(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 />
64580 S 5,134.08 3,185.07 1,236.06<br />
64581 S 5,134.08 3,185.07 1,236.06<br />
64585 S 827.17 0.00 0.00<br />
64590 S 13,579.09 7,375.62 1,172.14<br />
64595 S 1,107.55 0.00 0.00<br />
64600 S 487.22 0.00 0.00<br />
64605 S 728.55 0.00 0.00<br />
64610 S 728.55 0.00 0.00<br />
64611 S 54.43 0.00 0.00<br />
64612 S 79.47 0.00 0.00<br />
64613 S 74.47 0.00 0.00<br />
64614 S 84.49 0.00 0.00<br />
64620 S 288.96 0.00 0.00<br />
64622 S 487.22 0.00 0.00<br />
64623 S 288.96 0.00 0.00<br />
64626 S 288.96 0.00 0.00<br />
64627 S 101.61 0.00 0.00<br />
64630 S 288.96 0.00 0.00<br />
64632 S 39.07 0.00 0.00<br />
64640 S 112.20 0.00 0.00<br />
64650 S 63.12 0.00 0.00<br />
64653 S 70.46 0.00 0.00<br />
64680 S 288.96 0.00 0.00<br />
64681 S 487.22 0.00 0.00<br />
64702 S 728.55 0.00 0.00<br />
64704 S 728.55 0.00 0.00<br />
64708 S 728.55 0.00 0.00<br />
64712 S 728.55 0.00 0.00<br />
64713 S 728.55 0.00 0.00<br />
64714 S 728.55 0.00 0.00<br />
64716 S 728.55 0.00 0.00<br />
64718 S 728.55 0.00 0.00<br />
64719 S 728.55 0.00 0.00<br />
64721 S 728.55 0.00 0.00<br />
64722 S 728.55 0.00 0.00<br />
64726 S 728.55 0.00 0.00<br />
64727 S 728.55 0.00 0.00<br />
64732 S 728.55 0.00 0.00<br />
64734 S 728.55 0.00 0.00<br />
64736 S 728.55 0.00 0.00<br />
64738 S 728.55 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
77 of 100
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