(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 />
69915 S 1,701.74 0.00 0.00<br />
69930 S 28,557.84 15,545.36 2,532.88<br />
70030 TC A 19.71 0.00 0.00<br />
70100 TC A 23.37 0.00 0.00<br />
70110 TC A 24.91 0.00 0.00<br />
70120 TC A 24.91 0.00 0.00<br />
70130 TC A 24.91 0.00 0.00<br />
70134 TC A 29.05 0.00 0.00<br />
70140 TC A 20.04 0.00 0.00<br />
70150 TC A 24.91 0.00 0.00<br />
70160 TC A 24.04 0.00 0.00<br />
70190 TC A 24.71 0.00 0.00<br />
70200 TC A 24.91 0.00 0.00<br />
70210 TC A 21.70 0.00 0.00<br />
70220 TC A 24.91 0.00 0.00<br />
70240 TC A 19.71 0.00 0.00<br />
70250 TC A 24.37 0.00 0.00<br />
70260 TC A 30.06 0.00 0.00<br />
70300 TC A 8.34 0.00 0.00<br />
70310 TC A 16.86 0.00 0.00<br />
70320 TC A 16.86 0.00 0.00<br />
70328 TC A 21.37 0.00 0.00<br />
70330 TC A 24.91 0.00 0.00<br />
70336 TC A 189.59 0.00 0.00<br />
70350 TC A 11.35 0.00 0.00<br />
70355 TC A 10.68 0.00 0.00<br />
70360 TC A 18.70 0.00 0.00<br />
70370 TC A 46.16 0.00 0.00<br />
70371 TC A 46.16 0.00 0.00<br />
70380 TC A 24.91 0.00 0.00<br />
70450 TC A 107.17 0.00 0.00<br />
70460 TC A 165.76 0.00 0.00<br />
70470 TC A 184.79 0.00 0.00<br />
70480 TC A 107.17 0.00 0.00<br />
70481 TC A 165.76 0.00 0.00<br />
70482 TC A 184.79 0.00 0.00<br />
70486 TC A 107.17 0.00 0.00<br />
70487 TC A 165.76 0.00 0.00<br />
70488 TC A 184.79 0.00 0.00<br />
70490 TC A 107.17 0.00 0.00<br />
70491 TC A 165.76 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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