02.01.2015 Views

(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

SHOW MORE
SHOW LESS

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 />

65900 S 97.03 0.00 0.00<br />

65920 S 929.69 0.00 0.00<br />

65930 S 929.69 0.00 0.00<br />

66020 S 681.69 0.00 0.00<br />

66030 S 681.69 0.00 0.00<br />

66130 S 929.69 0.00 0.00<br />

66150 S 929.69 0.00 0.00<br />

66155 S 929.69 0.00 0.00<br />

66160 S 929.69 0.00 0.00<br />

66165 S 929.69 0.00 0.00<br />

66170 S 929.69 0.00 0.00<br />

66172 S 929.69 0.00 0.00<br />

66174 S 1,646.48 0.00 0.00<br />

66175 S 1,646.48 0.00 0.00<br />

66180 S 1,646.48 0.00 0.00<br />

66185 S 929.69 0.00 0.00<br />

66220 S 1,559.58 0.00 0.00<br />

66225 S 1,646.48 0.00 0.00<br />

66250 S 681.69 0.00 0.00<br />

66500 S 97.03 0.00 0.00<br />

66505 S 286.89 0.00 0.00<br />

66600 S 929.69 0.00 0.00<br />

66605 S 929.69 0.00 0.00<br />

66625 S 286.89 0.00 0.00<br />

66630 S 929.69 0.00 0.00<br />

66635 S 929.69 0.00 0.00<br />

66680 S 929.69 0.00 0.00<br />

66682 S 929.69 0.00 0.00<br />

66700 S 681.69 0.00 0.00<br />

66710 S 681.69 0.00 0.00<br />

66711 S 681.69 0.00 0.00<br />

66720 S 681.69 0.00 0.00<br />

66740 S 929.69 0.00 0.00<br />

66761 S 194.35 0.00 0.00<br />

66762 S 213.64 0.00 0.00<br />

66770 S 213.64 0.00 0.00<br />

66820 S 286.89 0.00 0.00<br />

66821 S 213.64 0.00 0.00<br />

66825 S 929.69 0.00 0.00<br />

66830 S 286.89 0.00 0.00<br />

66840 S 562.36 0.00 0.00<br />

PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />

A = ANCILLARY SERVICE, C = CARRIER PRICED<br />

81 of 100

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!