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(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 />

70492 TC A 184.79 0.00 0.00<br />

70496 TC A 187.16 0.00 0.00<br />

70498 TC A 187.16 0.00 0.00<br />

70540 TC A 189.59 0.00 0.00<br />

70542 TC A 241.58 0.00 0.00<br />

70543 TC A 295.00 0.00 0.00<br />

70544 TC A 189.59 0.00 0.00<br />

70545 TC A 241.58 0.00 0.00<br />

70546 TC A 295.00 0.00 0.00<br />

70547 TC A 189.59 0.00 0.00<br />

70548 TC A 241.58 0.00 0.00<br />

70549 TC A 295.00 0.00 0.00<br />

70551 TC A 189.59 0.00 0.00<br />

70552 TC A 241.58 0.00 0.00<br />

70553 TC A 295.00 0.00 0.00<br />

70554 TC A 189.59 0.00 0.00<br />

70555 TC A 189.59 0.00 0.00<br />

70557 TC A 189.59 0.00 0.00<br />

70558 TC A 241.58 0.00 0.00<br />

70559 TC A 295.00 0.00 0.00<br />

71010 TC A 14.36 0.00 0.00<br />

71015 TC A 19.37 0.00 0.00<br />

71020 TC A 19.71 0.00 0.00<br />

71021 TC A 24.37 0.00 0.00<br />

71022 TC A 24.91 0.00 0.00<br />

71023 TC A 46.16 0.00 0.00<br />

71030 TC A 24.91 0.00 0.00<br />

71034 TC A 46.16 0.00 0.00<br />

71035 TC A 24.91 0.00 0.00<br />

71100 TC A 21.04 0.00 0.00<br />

71101 TC A 24.91 0.00 0.00<br />

71110 TC A 24.91 0.00 0.00<br />

71111 TC A 36.39 0.00 0.00<br />

71120 TC A 21.70 0.00 0.00<br />

71130 TC A 24.91 0.00 0.00<br />

71250 TC A 107.17 0.00 0.00<br />

71260 TC A 165.76 0.00 0.00<br />

71270 TC A 184.79 0.00 0.00<br />

71275 TC A 187.16 0.00 0.00<br />

71550 TC A 189.59 0.00 0.00<br />

71551 TC A 241.58 0.00 0.00<br />

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

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

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