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 3 other categories related to Workers Comp / Fee Schedules in the Libraries & Directories.

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

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

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

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

CA-California Official Medical Fee Schedule [30037] CA-California Official Medical Fee Schedule : Resource Info
Physician services fee schedules

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

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

CO-Colorado: Medical Fee Schedule [11199] CO-Colorado: 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 Health Care Provider Fee for Service Reimbursement Manual [19926] FL-Florida 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

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

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

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

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

IL-Illinois WC Fee Schedule [27507] IL-Illinois WC Fee Schedule : Resource Info
Access the fee schedule online

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

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

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

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

MT-Montanta Fee Schedule Conversion Factors and Discount Rates [15304] MT-Montanta 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

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

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

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

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

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

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

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

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

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) - not online

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

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

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

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

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

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

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

WA-Washington Fee Schedules [5302] WA-Washington 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 Workers Compensation Fees & Schedules [pdf] [29891] WV-West Virginia Workers Compensation Fees & Schedules : Resource Info
Billing essentials and coding

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



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