(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 />
72196 TC A 241.58 0.00 0.00<br />
72197 TC A 295.00 0.00 0.00<br />
72200 TC A 20.71 0.00 0.00<br />
72202 TC A 24.71 0.00 0.00<br />
72220 TC A 20.37 0.00 0.00<br />
73000 TC A 20.04 0.00 0.00<br />
73010 TC A 20.71 0.00 0.00<br />
73020 TC A 15.70 0.00 0.00<br />
73030 TC A 20.37 0.00 0.00<br />
73050 TC A 24.91 0.00 0.00<br />
73060 TC A 20.04 0.00 0.00<br />
73070 TC A 20.04 0.00 0.00<br />
73080 TC A 24.91 0.00 0.00<br />
73090 TC A 19.37 0.00 0.00<br />
73092 TC A 22.04 0.00 0.00<br />
73100 TC A 21.37 0.00 0.00<br />
73110 TC A 24.91 0.00 0.00<br />
73120 TC A 19.04 0.00 0.00<br />
73130 TC A 23.04 0.00 0.00<br />
73140 TC A 24.04 0.00 0.00<br />
73200 TC A 107.17 0.00 0.00<br />
73201 TC A 165.76 0.00 0.00<br />
73202 TC A 184.79 0.00 0.00<br />
73206 TC A 187.16 0.00 0.00<br />
73218 TC A 189.59 0.00 0.00<br />
73219 TC A 241.58 0.00 0.00<br />
73220 TC A 295.00 0.00 0.00<br />
73221 TC A 189.59 0.00 0.00<br />
73222 TC A 241.58 0.00 0.00<br />
73223 TC A 295.00 0.00 0.00<br />
73500 TC A 17.03 0.00 0.00<br />
73510 TC A 24.91 0.00 0.00<br />
73520 TC A 24.91 0.00 0.00<br />
73540 TC A 24.91 0.00 0.00<br />
73550 TC A 19.04 0.00 0.00<br />
73560 TC A 20.71 0.00 0.00<br />
73562 TC A 24.91 0.00 0.00<br />
73564 TC A 24.91 0.00 0.00<br />
73565 TC A 23.71 0.00 0.00<br />
73590 TC A 18.70 0.00 0.00<br />
73592 TC A 22.37 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
91 of 100
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