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    Fee Schedules


State mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere. A few states (such as Tennessee) base their computation of WC fee schedules on Medicare rates which are available in our library in the Managed Care - Medical Costs section under Medicare Payment Systems. You must conduct the calculations yourself. They are not provided for you. The following states allow payment of Workers' Compensation claims at usual and customary rates: District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin
There are 4 other categories related to Workers Comp / Fee Schedules in the Libraries & Directories.

AL-Alabama WC Provider Fee Schedules [23703] AL-Alabama WC Provider Fee Schedules : Resource Info
Information on how to order (fees) the fee schedules - not online

AR-Arkansas: WC Medical Fees Schedule [11194] AR-Arkansas: WC Medical Fees Schedule : Resource Info
Rule 30 Medical Fee Schedule

Updated AZ-Arizona WC Fee Schedule [27197] AZ-Arizona WC Fee Schedule : Resource Info
Online access

CA-California: WC Medical Fee Schedules [11196] CA-California: WC Medical Fee Schedules : Resource Info
For ambulance fees, inpatient, outpatient, laboratory, pharmaceuticals and physician services

CO-Colorado: WC Medical Fee Schedule [11199] CO-Colorado: WC Medical Fee Schedule : Resource Info
The text of Rule 18 which contains the Medical Fee Schedule for WC in Colorado

CT-Connecticut WCC Official Connecticut Practitioner Fee Schedule [27190] CT-Connecticut WCC Official Connecticut Practitioner Fee Schedule : Resource Info
Ordering information only (fees) - not online

FL-Florida WC Health Care Provider Fee for Service Reimbursement Manual [19926] FL-Florida WC Health Care Provider Fee for Service Reimbursement Manual : Resource Info
Reimbursement policies and maximum reimbursable allowances by CPT code

FL-Florida WC Reimbursement Manual for Hospitals [11250] FL-Florida WC Reimbursement Manual for Hospitals : Resource Info
Full text of the manual

GA-Georgia Workers’ Compensation Medical Fee Schedule [27191] GA-Georgia Workers’ Compensation Medical Fee Schedule : Resource Info
Ordering information only (fees) - not online

HI-Hawaii Disability Compensation Medical Fee Schedule [15515] HI-Hawaii Disability Compensation Medical Fee Schedule : Resource Info
The WC medical fee schedule for the state of Hawaii

KS-Kansas WC Medical Fee Schedule [23183] KS-Kansas WC Medical Fee Schedule : Resource Info
Download the fee schedule for workers compensation

KY-Kentucky WC Medical Fee Schedules [23704] KY-Kentucky WC Medical Fee Schedules : Resource Info
Ordering information is provided (fees) - not online - some additional info available

MA-Massachusetts Worker's Compensation Fee Schedules [20455] MA-Massachusetts Worker
Fee schedules for workers compensation in MA

MD-Maryland WC Medical Fee Schedule [22408] MD-Maryland WC Medical Fee Schedule : Resource Info
Reimbursement guidance - based on Medicare rates

ME-Maine: WC Medical Fee Schedules [11216] ME-Maine: WC Medical Fee Schedules : Resource Info
Medical fee schedule for the State of Maine

MI-Michigan WC Health Care Services Fee Schedule [15260] MI-Michigan WC Health Care Services Fee Schedule : Resource Info
Access to the entire fee schedule

MN-Minnesota WC Medical Fee Schedule [23705] MN-Minnesota WC Medical Fee Schedule : Resource Info
Access the medical fee schedule and obtain the conversion factors

MS-Mississippi WC Medical Fee Schedule FAQ [15301] MS-Mississippi WC Medical Fee Schedule FAQ : Resource Info
Answers common questions related to medical fee schedules in Mississippi

MS-Mississippi: WC Medical Fee Schedules [11223] MS-Mississippi: WC Medical Fee Schedules : Resource Info
Download hospital addendum & medical fee schedule

MT-Montanta WC Fee Schedule Conversion Factors and Discount Rates [15304] MT-Montanta WC Fee Schedule Conversion Factors and Discount Rates : Resource Info
Fee schedules to reimburse non-hospital providers &discount factors used for reimbursing hospitals

NC-North Carolina Industrial Commission Medical Fee Schedule [15312] NC-North Carolina Industrial Commission Medical Fee Schedule : Resource Info
Access to the medical fee schedule for WC in North Carolina

ND-North Dakota WC Medical Services Fee Schedules [15318] ND-North Dakota WC Medical Services Fee Schedules : Resource Info
Download North Dakota's WC medical fee schedules

NE-Nebraska WC Fee Schedules [23706] NE-Nebraska WC Fee Schedules : Resource Info
Medical Services Fee Schedule, Hospital & Ambulatory Surgery, Implantable Medical Device, DRG Inpatient Hospital Fees

NM-New Mexico WC Physicians Fee Schedule [23164] NM-New Mexico WC Physicians Fee Schedule : Resource Info
Text of the workers compensastion fee schedule for New Mexico

NV-Nevada WC Medical Fee Schedules [15334] NV-Nevada WC Medical Fee Schedules : Resource Info
Download updates to the medical fee schedules for the state of Nevada

NY-New York WC Medical Fee Schedules [14959] NY-New York WC Medical Fee Schedules : Resource Info
Inpatient & Outpatient Medical, Dental, Pharmacy, Durable Medical Goods and Equipment, Medicaid Pharmacy Formulary Files

OH-Ohio: WC Provider Fee Schedule [11246] OH-Ohio: WC Provider Fee Schedule : Resource Info
Input CPT codes and modifiers to obtain fees

OK-Oklahoma WC Schedule of Medical and Hospital Fees [27195] OK-Oklahoma WC Schedule of Medical and Hospital Fees : Resource Info
Text of the WC fee schedule for the State of Oklahoma

OR-Oregon WC Medical Fee and Payment Rules [15341] OR-Oregon WC Medical Fee and Payment Rules : Resource Info
Full text of the rules related to Oregon Medical Fee Schedules

PA-Pennsylvania Charge Classes by Zip Code [23215] PA-Pennsylvania Charge Classes by Zip Code : Resource Info
The major users for this list are those who reprice medical bills to the workers' compensation fee schedule

PA-Pennyslvania: WC Fee Schedule [11253] PA-Pennyslvania: WC Fee Schedule : Resource Info
Workers' Compensation Fee Schedule for Part A (Tables A through H) and Part B medical providers

RI-Rhode Island Workers Compensation Medical Schedule [15327] RI-Rhode Island Workers Compensation Medical Schedule : Resource Info
Ordering information only (fees)

SC-South Carolina WC Fee Schedules [27196] SC-South Carolina WC Fee Schedules : Resource Info
Text of the Hospital and Ambulatory Surgical Center Payment Manual

SD-South Dakota WC Physicians Fee Schedule [23216] SD-South Dakota WC Physicians Fee Schedule : Resource Info
Access to the rules and medical fee schedule for workers compensation in SD

TX-Texas Workers Compensation Fee Guidelines [22099] TX-Texas Workers Compensation Fee Guidelines : Resource Info
Hospital Fee Guidelines, Medical Fee Guidelines, Ambulatory Surgical Center Fee Guidelines

UT-Utah WC Medical Fee Guidelines [pdf] [23220] UT-Utah WC Medical Fee Guidelines : Resource Info
Text of Utah Labor Commission's Medical Fee Schedule

VA-Virginia WC Rule Regarding Reimbursements [24322] VA-Virginia WC Rule Regarding Reimbursements : Resource Info
Explains how charges are calculated

VT-Vermont: Workers Compensation Fee Schedule, Rule 40 [11263] VT-Vermont: Workers Compensation Fee Schedule, Rule 40 : Resource Info
Text of the Vermont WC Fee Schedule

WA-Washington WC Fee Schedules [5302] WA-Washington WC Fee Schedules : Resource Info
Contains the department’s rules, payment policies and CPT & HCPCS fee schedules

WI-Wisconsin Hospital Radiology Databases [894] WI-Wisconsin Hospital Radiology Databases : Resource Info
Fees by CPT Code for hospital radiology WC charges

WV-West Virginia WC Medical Fee Schedule [24323] WV-West Virginia WC Medical Fee Schedule : Resource Info
Download the fee schedules

WY-Wyoming WC Fee Schedules [pdf] [23226] WY-Wyoming WC Fee Schedules : Resource Info
Wyoming WC rules and regulations and reimbursement rates related to Fee Schedules



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