(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 />
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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