(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
http://www.wpsmedicare.com WPS Medicare Ambulatory Surgical Center (ASC) Fee Schedule for Iowa CBSA 26980 Effective January 1, 2011 All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. All rights reserved. HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT 67801 S 80.14 0.00 0.00 67805 S 103.52 0.00 0.00 67808 S 761.92 0.00 0.00 67810 S 123.83 0.00 0.00 67820 S 21.70 0.00 0.00 67825 S 66.78 0.00 0.00 67830 S 309.30 0.00 0.00 67835 S 761.92 0.00 0.00 67840 S 179.32 0.00 0.00 67850 S 140.92 0.00 0.00 67875 S 309.30 0.00 0.00 67880 S 681.69 0.00 0.00 67882 S 761.92 0.00 0.00 67900 S 1,012.76 0.00 0.00 67901 S 761.92 0.00 0.00 67902 S 1,012.76 0.00 0.00 67903 S 761.92 0.00 0.00 67904 S 761.92 0.00 0.00 67906 S 761.92 0.00 0.00 67908 S 761.92 0.00 0.00 67909 S 761.92 0.00 0.00 67911 S 761.92 0.00 0.00 67912 S 761.92 0.00 0.00 67914 S 761.92 0.00 0.00 67915 S 202.37 0.00 0.00 67916 S 761.92 0.00 0.00 67917 S 761.92 0.00 0.00 67921 S 761.92 0.00 0.00 67922 S 196.35 0.00 0.00 67923 S 761.92 0.00 0.00 67924 S 761.92 0.00 0.00 67930 S 205.37 0.00 0.00 67935 S 761.92 0.00 0.00 67938 S 87.88 0.00 0.00 67950 S 761.92 0.00 0.00 67961 S 761.92 0.00 0.00 67966 S 761.92 0.00 0.00 67971 S 761.92 0.00 0.00 67973 S 1,012.76 0.00 0.00 67974 S 761.92 0.00 0.00 67975 S 761.92 0.00 0.00 PROCEDURE INDICATORS: S = SURGICAL PROCEDURE, A = ANCILLARY SERVICE, C = CARRIER PRICED 84 of 100
http://www.wpsmedicare.com WPS Medicare Ambulatory Surgical Center (ASC) Fee Schedule for Iowa CBSA 26980 Effective January 1, 2011 All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. All rights reserved. HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT 68020 S 58.77 0.00 0.00 68040 S 29.39 0.00 0.00 68100 S 107.86 0.00 0.00 68110 S 141.26 0.00 0.00 68115 S 761.92 0.00 0.00 68130 S 681.69 0.00 0.00 68135 S 75.81 0.00 0.00 68200 S 21.37 0.00 0.00 68320 S 1,012.76 0.00 0.00 68325 S 1,012.76 0.00 0.00 68326 S 761.92 0.00 0.00 68328 S 1,012.76 0.00 0.00 68330 S 929.69 0.00 0.00 68335 S 1,012.76 0.00 0.00 68340 S 761.92 0.00 0.00 68360 S 929.69 0.00 0.00 68362 S 929.69 0.00 0.00 68371 S 681.69 0.00 0.00 68400 S 123.83 0.00 0.00 68420 S 209.71 0.00 0.00 68440 S 60.78 0.00 0.00 68500 S 1,012.76 0.00 0.00 68505 S 1,012.76 0.00 0.00 68510 S 761.92 0.00 0.00 68520 S 1,012.76 0.00 0.00 68525 S 761.92 0.00 0.00 68530 S 123.83 0.00 0.00 68540 S 761.92 0.00 0.00 68550 S 1,012.76 0.00 0.00 68700 S 761.92 0.00 0.00 68705 S 123.83 0.00 0.00 68720 S 1,012.76 0.00 0.00 68745 S 1,012.76 0.00 0.00 68750 S 1,012.76 0.00 0.00 68760 S 120.88 0.00 0.00 68761 S 84.82 0.00 0.00 68770 S 1,012.76 0.00 0.00 68801 S 36.93 0.00 0.00 68810 S 123.83 0.00 0.00 68811 S 761.92 0.00 0.00 68815 S 761.92 0.00 0.00 PROCEDURE INDICATORS: S = SURGICAL PROCEDURE, A = ANCILLARY SERVICE, C = CARRIER PRICED 85 of 100
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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 />
67801 S 80.14 0.00 0.00<br />
67805 S 103.52 0.00 0.00<br />
67808 S 761.92 0.00 0.00<br />
67810 S 123.83 0.00 0.00<br />
67820 S 21.70 0.00 0.00<br />
67825 S 66.78 0.00 0.00<br />
67830 S 309.30 0.00 0.00<br />
67835 S 761.92 0.00 0.00<br />
67840 S 179.32 0.00 0.00<br />
67850 S 140.92 0.00 0.00<br />
67875 S 309.30 0.00 0.00<br />
67880 S 681.69 0.00 0.00<br />
67882 S 761.92 0.00 0.00<br />
67900 S 1,012.76 0.00 0.00<br />
67901 S 761.92 0.00 0.00<br />
67902 S 1,012.76 0.00 0.00<br />
67903 S 761.92 0.00 0.00<br />
67904 S 761.92 0.00 0.00<br />
67906 S 761.92 0.00 0.00<br />
67908 S 761.92 0.00 0.00<br />
67909 S 761.92 0.00 0.00<br />
67911 S 761.92 0.00 0.00<br />
67912 S 761.92 0.00 0.00<br />
67914 S 761.92 0.00 0.00<br />
67915 S 202.37 0.00 0.00<br />
67916 S 761.92 0.00 0.00<br />
67917 S 761.92 0.00 0.00<br />
67921 S 761.92 0.00 0.00<br />
67922 S 196.35 0.00 0.00<br />
67923 S 761.92 0.00 0.00<br />
67924 S 761.92 0.00 0.00<br />
67930 S 205.37 0.00 0.00<br />
67935 S 761.92 0.00 0.00<br />
67938 S 87.88 0.00 0.00<br />
67950 S 761.92 0.00 0.00<br />
67961 S 761.92 0.00 0.00<br />
67966 S 761.92 0.00 0.00<br />
67971 S 761.92 0.00 0.00<br />
67973 S 1,012.76 0.00 0.00<br />
67974 S 761.92 0.00 0.00<br />
67975 S 761.92 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
84 of 100