derived_fields list | fee_schedule_basis string | id string | source string | source_citation string | source_quote string | state string | update_methodology string | url string | verified_fields list | other_conversion_factors string | primary_conversion_factor string | surgery_conversion_factor string | effective_date string |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
[
"source_citation",
"update_methodology"
] | RBRVS | california | https://www.dir.ca.gov/dwc/OMFS9904.htm | Cal. Labor Code § 5307.1; DWC Official Medical Fee Schedule (physician services) | Fact Sheet on RBRVS-based Physician and Non-Physician Practitioner Fee Schedule effective January 1, 2014 FAQs Physician and Non-Physician Practitioner Fee Schedule Labor Code section 5307.1 requires the DWC administrative director to adopt an official medical fee schedule for physician services. | California | conversion factors adopted by Orders of the DWC Administrative Director; dollar values are published in the order and regulation documents, not on the index page | https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/california/ | [
"fee_schedule_basis"
] | null | null | null | null |
[
"other_conversion_factors",
"source_citation",
"update_methodology"
] | percentage of Medicare | florida | https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/Sections/0440.13.html | Fla. Stat. § 440.13(12)(f)-(g) | (f) Maximum reimbursement for a physician licensed under chapter 458 or chapter 459 shall be 175 percent of the reimbursement allowed by Medicare, using appropriate codes and modifiers or the medical reimbursement level adopted by the three-member panel as of January 1, 2003, whichever is greater. (g) Maximum reimburse... | Florida | By July 1 of each year the department notifies carriers and self-insurers of the physician and nonhospital services schedule of maximum reimbursement allowances | https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/florida/ | [
"primary_conversion_factor",
"surgery_conversion_factor"
] | Emergency services without an assigned maximum reimbursement allowance: 250 percent of Medicare (provision expires June 30, 2026); outpatient scheduled surgeries: 60 percent of charges | 175 percent of the reimbursement allowed by Medicare | 210 percent of the reimbursement allowed by Medicare | null |
[
"source_citation",
"update_methodology"
] | Medicare Resource Based Relative Value Scale | hawaii | https://www.capitol.hawaii.gov/hrscurrent/Vol07_Ch0346-0398/HRS0386/HRS_0386-0021.htm | Haw. Rev. Stat. § 386-21(c) | The director shall make determinations of the charges and adopt fee schedules based upon those determinations. Effective January 1, 1997, and for each succeeding calendar year thereafter, the charges shall not exceed one hundred ten per cent of fees prescribed in the Medicare Resource Based Relative Value Scale applica... | Hawaii | the director updates the schedules every three years or annually, as required | https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/hawaii/ | [
"effective_date",
"fee_schedule_basis",
"primary_conversion_factor",
"state"
] | null | one hundred ten per cent of fees prescribed in the Medicare Resource Based Relative Value Scale applicable to Hawaii | null | January 1, 1997 |
[
"other_conversion_factors",
"source_citation",
"update_methodology"
] | RBRVS | minnesota | https://www.dli.mn.gov/business/workers-compensation/work-comp-medical-fee-schedules-rbrvs | Minnesota Rules Chapter 5221, Parts 5221.4005 to 5221.4062 | For dates of service from Oct. 1, 2026, through Sept. 30, 2027, the relative value fee schedule conversion factors are: for medical/surgical services in part 5221.4030: $68.30; for pathology and laboratory services in part 5221.4040: $60.81; for physical medicine/rehabilitation services in part 5221.4050: $61.48; and f... | Minnesota | annual update per Minnesota Rules Chapter 5221 | https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/minnesota/ | [
"effective_date",
"primary_conversion_factor",
"surgery_conversion_factor"
] | Pathology and laboratory: $60.81; Physical medicine/rehabilitation: $61.48; Chiropractic: $52.94 | $68.30 | $68.30 | Oct. 1, 2026 |
[
"other_conversion_factors",
"source_citation",
"update_methodology"
] | null | montana | https://erd.dli.mt.gov/work-comp-claims/medical-regulations/historic-wc-reimbursement-conversion-factors | Montana DLI Employment Standards Division, Historic WC Medical Reimbursement Conversion Factors table | 2025 | July 1, 2024 to June 30, 2025 | $10,141 | $130 | $98 | 60.47 | $65.73 | | Montana | conversion factors set per state fiscal year (July 1 to June 30) | https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/montana/ | [
"effective_date",
"primary_conversion_factor"
] | Anesthesia: $65.73; facility base rates — inpatient $10,141, outpatient $130, ASC $98 | 60.47 | null | July 1, 2024 |
[
"other_conversion_factors",
"source_citation",
"update_methodology"
] | RBRVS | texas | https://www.tdi.texas.gov/wc/fee/conversionfactors.html | 28 Texas Administrative Code §134.203 | For services provided in calendar year 2026, the new Medical Fee Guideline conversion factors are $72.07 and $90.48. The conversion factor of $72.07 applies to service categories of evaluation and management, general medicine, physical medicine and rehabilitation, radiology, pathology, anesthesia, and surgery when perf... | Texas | annual adjustment by Medicare Economic Index (MEI) | https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/texas/ | [
"effective_date",
"primary_conversion_factor"
] | Anesthesia: $72.07; Evaluation and management: $72.07; General medicine: $72.07; Pathology: $72.07; Physical medicine and rehabilitation: $72.07; Radiology: $72.07 | $72.07 | $90.48 (facility setting); $72.07 (office setting) | calendar year 2026 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.