(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 />
77403 A 54.08 0.00 0.00<br />
77404 A 54.08 0.00 0.00<br />
77406 A 54.08 0.00 0.00<br />
77407 A 54.08 0.00 0.00<br />
77408 A 54.08 0.00 0.00<br />
77409 A 54.08 0.00 0.00<br />
77411 A 88.76 0.00 0.00<br />
77412 A 88.76 0.00 0.00<br />
77413 A 88.76 0.00 0.00<br />
77414 A 88.76 0.00 0.00<br />
77416 A 88.76 0.00 0.00<br />
77418 A 242.27 0.00 0.00<br />
77422 A 88.76 0.00 0.00<br />
77423 A 88.76 0.00 0.00<br />
77470 TC A 95.17 0.00 0.00<br />
77520 A 570.39 0.00 0.00<br />
77522 A 570.39 0.00 0.00<br />
77523 A 746.15 0.00 0.00<br />
77525 A 746.15 0.00 0.00<br />
77600 TC A 214.83 0.00 0.00<br />
77605 TC A 214.83 0.00 0.00<br />
77610 TC A 214.83 0.00 0.00<br />
77615 TC A 214.83 0.00 0.00<br />
77620 TC A 214.83 0.00 0.00<br />
77750 TC A 88.76 0.00 0.00<br />
77761 TC A 171.64 0.00 0.00<br />
77762 TC A 196.24 0.00 0.00<br />
77763 TC A 196.24 0.00 0.00<br />
77776 TC A 178.99 0.00 0.00<br />
77777 TC A 195.69 0.00 0.00<br />
77778 TC A 266.15 0.00 0.00<br />
77785 TC A 144.93 0.00 0.00<br />
77786 TC A 387.06 0.00 0.00<br />
77787 TC A 387.06 0.00 0.00<br />
77789 TC A 52.43 0.00 0.00<br />
77799 TC A 196.24 0.00 0.00<br />
78000 TC A 55.71 0.00 0.00<br />
78001 TC A 55.71 0.00 0.00<br />
78003 TC A 55.71 0.00 0.00<br />
78006 TC A 121.35 0.00 0.00<br />
78007 TC A 121.35 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
96 of 100
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