(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
http://www.wpsmedicare.com WPS Medicare Ambulatory Surgical Center (ASC) Fee Schedule for Iowa CBSA 26980 Effective January 1, 2011 All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. All rights reserved. HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT 78272 TC A 96.14 0.00 0.00 78278 TC A 132.30 0.00 0.00 78282 TC A 132.30 0.00 0.00 78290 TC A 132.30 0.00 0.00 78291 TC A 132.30 0.00 0.00 78299 TC A 132.30 0.00 0.00 78300 TC A 135.28 0.00 0.00 78305 TC A 135.28 0.00 0.00 78306 TC A 135.28 0.00 0.00 78315 TC A 135.28 0.00 0.00 78320 TC A 135.28 0.00 0.00 78399 TC A 135.28 0.00 0.00 78414 TC A 161.10 0.00 0.00 78428 TC A 161.10 0.00 0.00 78445 TC A 110.77 0.00 0.00 78451 TC A 420.12 0.00 0.00 78452 TC A 420.12 0.00 0.00 78453 TC A 420.12 0.00 0.00 78454 TC A 420.12 0.00 0.00 78456 TC A 110.77 0.00 0.00 78457 TC A 110.77 0.00 0.00 78458 TC A 110.77 0.00 0.00 78459 TC A 612.22 0.00 0.00 78466 TC A 161.10 0.00 0.00 78468 TC A 161.10 0.00 0.00 78469 TC A 161.10 0.00 0.00 78472 TC A 161.10 0.00 0.00 78473 TC A 161.10 0.00 0.00 78481 TC A 161.10 0.00 0.00 78483 TC A 161.10 0.00 0.00 78491 TC A 612.22 0.00 0.00 78492 TC A 612.22 0.00 0.00 78494 TC A 161.10 0.00 0.00 78499 TC A 161.10 0.00 0.00 78580 TC A 108.82 0.00 0.00 78584 TC A 176.87 0.00 0.00 78585 TC A 176.87 0.00 0.00 78586 TC A 108.82 0.00 0.00 78587 TC A 108.82 0.00 0.00 78588 TC A 176.87 0.00 0.00 78591 TC A 108.82 0.00 0.00 PROCEDURE INDICATORS: S = SURGICAL PROCEDURE, A = ANCILLARY SERVICE, C = CARRIER PRICED 98 of 100
http://www.wpsmedicare.com WPS Medicare Ambulatory Surgical Center (ASC) Fee Schedule for Iowa CBSA 26980 Effective January 1, 2011 All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2009 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. All rights reserved. HCPCS MOD PROC IND AMOUNT FC MOD AMOUNT FB MOD AMOUNT 78593 TC A 108.82 0.00 0.00 78594 TC A 108.82 0.00 0.00 78596 TC A 176.87 0.00 0.00 78599 TC A 108.82 0.00 0.00 78600 TC A 132.81 0.00 0.00 78601 TC A 329.65 0.00 0.00 78605 TC A 132.81 0.00 0.00 78606 TC A 329.65 0.00 0.00 78607 TC A 329.65 0.00 0.00 78608 TC A 576.08 0.00 0.00 78610 TC A 132.81 0.00 0.00 78630 TC A 329.65 0.00 0.00 78635 TC A 329.65 0.00 0.00 78645 TC A 132.81 0.00 0.00 78647 TC A 329.65 0.00 0.00 78650 TC A 329.65 0.00 0.00 78660 TC A 132.81 0.00 0.00 78699 TC A 132.81 0.00 0.00 78700 TC A 177.72 0.00 0.00 78701 TC A 177.72 0.00 0.00 78707 TC A 177.72 0.00 0.00 78708 TC A 177.72 0.00 0.00 78709 TC A 177.72 0.00 0.00 78710 TC A 177.72 0.00 0.00 78725 TC A 96.14 0.00 0.00 78730 TC A 55.71 0.00 0.00 78740 TC A 177.72 0.00 0.00 78761 TC A 177.72 0.00 0.00 78799 TC A 177.72 0.00 0.00 78800 TC A 160.39 0.00 0.00 78801 TC A 262.60 0.00 0.00 78802 TC A 262.60 0.00 0.00 78803 TC A 262.60 0.00 0.00 78804 TC A 456.26 0.00 0.00 78805 TC A 262.60 0.00 0.00 78806 TC A 262.60 0.00 0.00 78807 TC A 262.60 0.00 0.00 78811 TC A 576.08 0.00 0.00 78812 TC A 576.08 0.00 0.00 78813 TC A 576.08 0.00 0.00 78814 TC A 576.08 0.00 0.00 PROCEDURE INDICATORS: S = SURGICAL PROCEDURE, A = ANCILLARY SERVICE, C = CARRIER PRICED 99 of 100
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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 />
78272 TC A 96.14 0.00 0.00<br />
78278 TC A 132.30 0.00 0.00<br />
78282 TC A 132.30 0.00 0.00<br />
78290 TC A 132.30 0.00 0.00<br />
78291 TC A 132.30 0.00 0.00<br />
78299 TC A 132.30 0.00 0.00<br />
78300 TC A 135.28 0.00 0.00<br />
78305 TC A 135.28 0.00 0.00<br />
78306 TC A 135.28 0.00 0.00<br />
78315 TC A 135.28 0.00 0.00<br />
78320 TC A 135.28 0.00 0.00<br />
78399 TC A 135.28 0.00 0.00<br />
78414 TC A 161.10 0.00 0.00<br />
78428 TC A 161.10 0.00 0.00<br />
78445 TC A 110.77 0.00 0.00<br />
78451 TC A 420.12 0.00 0.00<br />
78452 TC A 420.12 0.00 0.00<br />
78453 TC A 420.12 0.00 0.00<br />
78454 TC A 420.12 0.00 0.00<br />
78456 TC A 110.77 0.00 0.00<br />
78457 TC A 110.77 0.00 0.00<br />
78458 TC A 110.77 0.00 0.00<br />
78459 TC A 612.22 0.00 0.00<br />
78466 TC A 161.10 0.00 0.00<br />
78468 TC A 161.10 0.00 0.00<br />
78469 TC A 161.10 0.00 0.00<br />
78472 TC A 161.10 0.00 0.00<br />
78473 TC A 161.10 0.00 0.00<br />
78481 TC A 161.10 0.00 0.00<br />
78483 TC A 161.10 0.00 0.00<br />
78491 TC A 612.22 0.00 0.00<br />
78492 TC A 612.22 0.00 0.00<br />
78494 TC A 161.10 0.00 0.00<br />
78499 TC A 161.10 0.00 0.00<br />
78580 TC A 108.82 0.00 0.00<br />
78584 TC A 176.87 0.00 0.00<br />
78585 TC A 176.87 0.00 0.00<br />
78586 TC A 108.82 0.00 0.00<br />
78587 TC A 108.82 0.00 0.00<br />
78588 TC A 176.87 0.00 0.00<br />
78591 TC A 108.82 0.00 0.00<br />
PROCEDURE INDICATORS: S = SURGICAL PROCEDURE,<br />
A = ANCILLARY SERVICE, C = CARRIER PRICED<br />
98 of 100
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