(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 />
71552 TC A 295.00 0.00 0.00<br />
72010 TC A 41.94 0.00 0.00<br />
72020 TC A 15.70 0.00 0.00<br />
72040 TC A 24.91 0.00 0.00<br />
72050 TC A 36.39 0.00 0.00<br />
72052 TC A 41.94 0.00 0.00<br />
72069 TC A 24.91 0.00 0.00<br />
72070 TC A 22.37 0.00 0.00<br />
72072 TC A 24.91 0.00 0.00<br />
72074 TC A 24.91 0.00 0.00<br />
72080 TC A 24.37 0.00 0.00<br />
72090 TC A 33.73 0.00 0.00<br />
72100 TC A 24.91 0.00 0.00<br />
72110 TC A 39.07 0.00 0.00<br />
72114 TC A 41.94 0.00 0.00<br />
72120 TC A 24.91 0.00 0.00<br />
72125 TC A 107.17 0.00 0.00<br />
72126 TC A 165.76 0.00 0.00<br />
72127 TC A 184.79 0.00 0.00<br />
72128 TC A 107.17 0.00 0.00<br />
72129 TC A 165.76 0.00 0.00<br />
72130 TC A 184.79 0.00 0.00<br />
72131 TC A 107.17 0.00 0.00<br />
72132 TC A 165.76 0.00 0.00<br />
72133 TC A 184.79 0.00 0.00<br />
72141 TC A 189.59 0.00 0.00<br />
72142 TC A 241.58 0.00 0.00<br />
72146 TC A 189.59 0.00 0.00<br />
72147 TC A 241.58 0.00 0.00<br />
72148 TC A 189.59 0.00 0.00<br />
72149 TC A 241.58 0.00 0.00<br />
72156 TC A 295.00 0.00 0.00<br />
72157 TC A 295.00 0.00 0.00<br />
72158 TC A 295.00 0.00 0.00<br />
72170 TC A 17.37 0.00 0.00<br />
72190 TC A 24.91 0.00 0.00<br />
72191 TC A 187.16 0.00 0.00<br />
72192 TC A 107.17 0.00 0.00<br />
72193 TC A 165.76 0.00 0.00<br />
72194 TC A 184.79 0.00 0.00<br />
72195 TC A 189.59 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
90 of 100
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