(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 />
76536 TC A 53.23 0.00 0.00<br />
76604 TC A 34.41 0.00 0.00<br />
76645 TC A 34.41 0.00 0.00<br />
76700 TC A 53.23 0.00 0.00<br />
76705 TC A 53.23 0.00 0.00<br />
76770 TC A 53.23 0.00 0.00<br />
76775 TC A 53.23 0.00 0.00<br />
76776 TC A 53.23 0.00 0.00<br />
76800 TC A 53.23 0.00 0.00<br />
76801 TC A 53.23 0.00 0.00<br />
76802 TC A 28.38 0.00 0.00<br />
76805 TC A 53.23 0.00 0.00<br />
76810 TC A 48.76 0.00 0.00<br />
76811 TC A 84.57 0.00 0.00<br />
76812 TC A 34.41 0.00 0.00<br />
76813 TC A 34.41 0.00 0.00<br />
76814 TC A 31.73 0.00 0.00<br />
76815 TC A 34.41 0.00 0.00<br />
76816 TC A 34.41 0.00 0.00<br />
76817 TC A 34.41 0.00 0.00<br />
76818 TC A 53.23 0.00 0.00<br />
76819 TC A 52.76 0.00 0.00<br />
76820 TC A 21.70 0.00 0.00<br />
76821 TC A 34.41 0.00 0.00<br />
76825 TC A 133.58 0.00 0.00<br />
76826 TC A 83.15 0.00 0.00<br />
76827 TC A 34.41 0.00 0.00<br />
76828 TC A 20.71 0.00 0.00<br />
76830 TC A 53.23 0.00 0.00<br />
76831 TC A 84.57 0.00 0.00<br />
76856 TC A 53.23 0.00 0.00<br />
76857 TC A 34.41 0.00 0.00<br />
76870 TC A 53.23 0.00 0.00<br />
76872 TC A 53.23 0.00 0.00<br />
76873 TC A 53.23 0.00 0.00<br />
76881 TC A 53.23 0.00 0.00<br />
76882 TC A 9.68 0.00 0.00<br />
76885 TC A 34.41 0.00 0.00<br />
76886 TC A 34.41 0.00 0.00<br />
76936 TC A 58.87 0.00 0.00<br />
76970 TC A 34.41 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
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