(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
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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 />
74260 TC A 47.94 0.00 0.00<br />
74261 TC A 107.17 0.00 0.00<br />
74262 TC A 165.76 0.00 0.00<br />
74270 TC A 47.94 0.00 0.00<br />
74280 TC A 78.49 0.00 0.00<br />
74283 TC A 47.94 0.00 0.00<br />
74290 TC A 47.94 0.00 0.00<br />
74291 TC A 47.94 0.00 0.00<br />
74400 TC A 86.16 0.00 0.00<br />
74410 TC A 89.16 0.00 0.00<br />
74415 TC A 97.37 0.00 0.00<br />
74420 TC A 97.37 0.00 0.00<br />
74710 TC A 22.37 0.00 0.00<br />
74775 TC A 97.37 0.00 0.00<br />
75557 TC A 189.59 0.00 0.00<br />
75559 TC A 189.59 0.00 0.00<br />
75561 TC A 295.00 0.00 0.00<br />
75563 TC A 295.00 0.00 0.00<br />
75571 TC A 25.56 0.00 0.00<br />
75572 TC A 142.00 0.00 0.00<br />
75573 TC A 142.00 0.00 0.00<br />
75574 TC A 142.00 0.00 0.00<br />
76010 TC A 18.04 0.00 0.00<br />
76100 TC A 41.94 0.00 0.00<br />
76101 TC A 127.13 0.00 0.00<br />
76102 TC A 127.13 0.00 0.00<br />
76120 TC A 46.16 0.00 0.00<br />
76380 TC A 62.75 0.00 0.00<br />
76496 TC A 46.16 0.00 0.00<br />
76497 TC A 62.75 0.00 0.00<br />
76498 TC A 189.59 0.00 0.00<br />
76499 TC A 24.91 0.00 0.00<br />
76506 TC A 34.41 0.00 0.00<br />
76510 TC A 72.80 0.00 0.00<br />
76511 TC A 47.42 0.00 0.00<br />
76512 TC A 39.40 0.00 0.00<br />
76513 TC A 52.76 0.00 0.00<br />
76514 TC A 4.01 0.00 0.00<br />
76516 TC A 34.41 0.00 0.00<br />
76519 TC A 46.75 0.00 0.00<br />
76529 TC A 34.41 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
93 of 100
Change language