Workers Comp » 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 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. The following states allow payment of Workers' Compensation claims at usual and customary rates: Delaware, District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin

There are 6 other categories related to Workers Comp / Fee Schedules in the Libraries & Directories.

2007 State WC Medical Fee Schedule Effectiveness [pdf] [31666] Location
Comparison of the states workers compensation fee schedules in reducing WC medical costs

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

AR-Arkansas: Medical Fees Schedule [11194] Location
Rule 30 Medical Fee Schedule

Attorney Fees in Workers Compensation [pdf] [30017] Location
A chart of state WC laws that affect attorney fees for claimants

AZ-Arizona WC Fee Schedule [27197] Location
Online access

CA-California Official Medical Fee Schedule [30037] Location
Physician services fee schedules

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

Challenging Doctor & Hospital Charges [3522] Location
Describes the various legal avenues available for reducing medical charges in WC

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

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

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

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

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

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

HI-Hawaii WC Medical Fee Schedule [pdf] [29643] Location
93 pages of fee schedules

ID-Idaho WC Fee Schedule [pdf] [27505] Location
Listed by CPT code for physician charges

ID-Idaho WC Medical Fee Schedule [31718] Location
The text of the fee schedules as well as the rules and regulations governing them

ID-Idaho WC Medical Fee Schedule Rules [29170] Location
Rules related to medical fee disputes

IL-Illinois WC Fee Schedule [27507] Location
Access the fee schedule online

KS-Kansas Medical Fee Schedule [23183] Location
Download the fee schedule

KY-Kentucky WC Medical Fee Schedule for Physicians [23704] Location
Ordering information is provided (fees) - not online

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

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

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

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

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

MS-Mississippi Medical Fee Schedule FAQ [15301] Location
Answers common questions related to medical fee schedules in Mississippi

MS-Mississippi: Medical Fee Schedule Updates [11223] Location
Download hospital addendum & medical fee schedule updates (not the entire schedule)

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

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

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

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

NM-New Mexico Rule 7 Payments for Health Care Services [23677] Location
Text of the rule - does not include the maximum allowable payments (MAP) fee schedule

NM-New Mexico Schedule of Maximum Allowable Payments [23164] Location
Ordering instructions (not online) - also called the New Mexico Workers Compensation Medical Fee Schedule

NV-Nevada Medical Fee Schedules [15334] Location
Download updates to the medical fee schedules for the state of Nevada

NY-New York WC Inpatient & Outpatient Fee Schedules [14959] Location
Inpatient & outpatient fee schedules only - ordering info (fees) for the official WC medical fee schedule

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

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

OR-Oregon Medical Fee & Relative Value Schedule Rules [15341] Location
Full text of the rules related to Oregon Medical Fee Schedules

OWCP Medical Fee Schedule [28782] Location
Applies to FECA, EEOIC and LHWCA; a modified version is used for the FBLBA

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

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

RI-Rhode Island Workers Compensation Medical Schedule [15327] Location
Ordering information only (fees) - not online

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

SD-South Dakota WC Medical Fee Schedule [23216] Location
Access to the rules and medical fee schedule for workers compensation in SD

TN-Tennessee WC Medical Fee Schedule [pdf] [27504] Location
Explains the Medicare-based system with multiple conversion factors

TX-Texas WC Medical and Facility Fees Information [29057] Location
Medical fee guideline rules, advisories, training module, general information

TX-Texas Workers Compensation Medical Guidelines [pdf] [22099] Location
Information on Medical Fee Guidelines (MFG) for Texas WC

UT-Utah Medical Fee Guidelines [23220] Location
Ordering information only (fees) - not online

VA-Virginia WC Rule Regarding Reimbursements [24322] Location
Explains how charges are calculated

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

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

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

WV-West Virginia Workers Compensation Fees & Schedules [pdf] [29891] Location
Billing essentials and coding

WY-Wyoming WC Fee Schedules [23226] Location
Wyoming WC rules and regulations and reimbursement rates related to Fee Schedules




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Workers Comp / Managed Care
Guidance on managed care in workers compensation to control medical costs



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