(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 />
15135 S 655.40 0.00 0.00<br />
15136 S 655.40 0.00 0.00<br />
15150 S 176.78 0.00 0.00<br />
15151 S 176.78 0.00 0.00<br />
15152 S 176.78 0.00 0.00<br />
15155 S 176.78 0.00 0.00<br />
15156 S 176.78 0.00 0.00<br />
15157 S 176.78 0.00 0.00<br />
15170 S 176.78 0.00 0.00<br />
15171 S 120.40 0.00 0.00<br />
15175 S 176.78 0.00 0.00<br />
15176 S 176.78 0.00 0.00<br />
15200 S 655.40 0.00 0.00<br />
15201 S 655.40 0.00 0.00<br />
15220 S 655.40 0.00 0.00<br />
15221 S 176.78 0.00 0.00<br />
15240 S 655.40 0.00 0.00<br />
15241 S 176.78 0.00 0.00<br />
15260 S 655.40 0.00 0.00<br />
15261 S 655.40 0.00 0.00<br />
15300 S 176.78 0.00 0.00<br />
15301 S 176.78 0.00 0.00<br />
15320 S 176.78 0.00 0.00<br />
15321 S 176.78 0.00 0.00<br />
15330 S 176.78 0.00 0.00<br />
15331 S 176.78 0.00 0.00<br />
15335 S 176.78 0.00 0.00<br />
15336 S 176.78 0.00 0.00<br />
15340 S 120.40 0.00 0.00<br />
15341 S 120.40 0.00 0.00<br />
15360 S 120.40 0.00 0.00<br />
15361 S 120.40 0.00 0.00<br />
15365 S 120.40 0.00 0.00<br />
15366 S 120.40 0.00 0.00<br />
15400 S 176.78 0.00 0.00<br />
15401 S 176.78 0.00 0.00<br />
15420 S 176.78 0.00 0.00<br />
15421 S 176.78 0.00 0.00<br />
15430 S 176.78 0.00 0.00<br />
15431 S 176.78 0.00 0.00<br />
15570 S 848.47 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
8 of 100
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