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Fee Schedule
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Fee Schedule D Part II
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Content Editor
2024 Workers' Compensation Fee Schedule
Table D: Home Health Agency
NPI or Provider #
Provider #
MSA #
Skilled Nursing Rate
Physical Therapy Rate
Speech Therapy Rate
Occupational Therapy Rate
Social Services Rate
Home Aid Allowance
Implied Decimal 2 (in dollars)
1013198019
397400
6160
33246
31954
33211
31770
46065
17892
1780889402
397401
4000
29152
28022
29123
27868
40416
15694
1831613520
397406
3680
28253
27158
28219
27013
39173
15214
1154325918
397407
7560
28180
27092
28147
26942
39069
15166
1184679854
397411
6280
30954
29761
30925
29589
42907
16665
1174699326
397413
6160
33246
31954
33211
31770
46065
17892
1598796161
397422
7560
28180
27092
28147
26942
39069
15166
1396748455
397427
3680
28253
27158
28219
27013
39173
15214
1700975380
397436
6160
33246
31954
33211
31770
46065
17892
1972597854
397442
6280
30954
29761
30925
29589
42907
16665
1386641330
397449
7560
28180
27092
28147
26942
39069
15166
1497761043
397452
6280
30954
29761
30925
29589
42907
16665
1972667343
397455
7560
28180
27092
28147
26942
39069
15166
1093788002
397456
9280
28449
27342
28414
27195
39438
15312
1043391832
397457
7560
28180
27092
28147
26942
39069
15166
1558331371
397458
3680
28253
27158
28219
27013
39173
15214
1821022054
397466
7560
28180
27092
28147
26942
39069
15166
1659360824
397471
4000
29152
28022
29123
27868
40416
15694
1518901610
397472
6160
33246
31954
33211
31770
46065
17892
1841566635
397474
9280
28449
27342
28414
27195
39438
15312
1215904578
397477
7560
28180
27092
28147
26942
39069
15166
1548330350
397481
6160
33246
31954
33211
31770
46065
17892
1861485971
397486
7560
28180
27092
28147
26942
39069
15166
1205850807
397495
6680
28429
27331
28396
27185
39418
15299
1851390439
397500
6280
30954
29761
30925
29589
42907
16665
1609871409
397502
7560
28180
27092
28147
26942
39069
15166
1699938803
397505
6160
33246
31954
33211
31770
46065
17892
1326182692
397509
7610
28425
27330
28395
27178
39415
15296
1750384087
397510
7560
28180
27092
28147
26942
39069
15166
1609830819
397512
39
27812
29637
30999
29898
46487
12927
1518964618
397521
7560
28180
27092
28147
26942
39069
15166
1619917010
397533
240
30327
29152
30291
28992
42041
16327
1043664196
397537
6160
33246
31954
33211
31770
46065
17892
1174561567
397547
6160
33246
31954
33211
31770
46065
17892
1205811981
397551
6160
33246
31954
33211
31770
46065
17892
1285717652
397559
6160
33246
31954
33211
31770
46065
17892
1053390567
397562
6280
30954
29761
30925
29589
42907
16665
1275589566
397564
8050
30666
29473
30626
29307
42494
16502
1871732230
397565
6280
30954
29761
30925
29589
42907
16665
1013990704
397570
7560
28180
27092
28147
26942
39069
15166
1205839040
397575
240
30327
29152
30291
28992
42041
16327
1730185208
397578
6680
28429
27331
28396
27185
39418
15299
1023045218
397583
6160
33246
31954
33211
31770
46065
17892
1619088416
397585
3240
29948
28788
29915
28624
41508
16123
1467446609
397587
240
30327
29152
30291
28992
42041
16327
1346243763
397588
6160
33246
31954
33211
31770
46065
17892
1770538456
397607
6280
30954
29761
30925
29589
42907
16665
1902176787
397611
7560
28180
27092
28147
26942
39069
15166
1033114855
397613
6280
30954
29761
30925
29589
42907
16665
1497721187
397622
6160
33246
31954
33211
31770
46065
17892
1245237676
397624
6280
30954
29761
30925
29589
42907
16665
1225311178
397626
7560
28180
27092
28147
26942
39069
15166
1730493032
397636
6280
30954
29761
30925
29589
42907
16665
1417940487
397647
39
27812
29637
30999
29898
46487
12927
1932167921
397655
6280
30954
29761
30925
29589
42907
16665
1063426831
397658
6160
33246
31954
33211
31770
46065
17892
1063471704
397672
9140
27643
26567
27613
26424
38328
14876
1487748570
397674
6280
30954
29761
30925
29589
42907
16665
1265437156
397706
6160
33246
31954
33211
31770
46065
17892
1235114224
397710
6280
30954
29761
30925
29589
42907
16665
1093769275
397715
240
30327
29152
30291
28992
42041
16327
1669474847
397717
6280
30954
29761
30925
29589
42907
16665
1164462404
397718
7560
28180
27092
28147
26942
39069
15166
1215238548
397726
7560
28180
27092
28147
26942
39069
15166
1578547394
397728
39
27812
29637
30999
29898
46487
12927
1891793543
397733
7560
28180
27092
28147
26942
39069
15166
1205801156
397747
6160
33246
31954
33211
31770
46065
17892
1902800626
397748
240
30327
29152
30291
28992
42041
16327
1639152341
397749
7560
28180
27092
28147
26942
39069
15166
1962453118
397755
6280
30954
29761
30925
29589
42907
16665
1760621122
397756
8050
30666
29473
30626
29307
42494
16502
1982608832
397759
6280
30954
29761
30925
29589
42907
16665
1831128925
397761
240
30327
29152
30291
28992
42041
16327
1982609806
397764
39
27812
29637
30999
29898
46487
12927
1023010329
397774
7560
28180
27092
28147
26942
39069
15166
1508864679
397776
39
27812
29637
30999
29898
46487
12927
1720082290
397786
6160
33246
31954
33211
31770
46065
17892
1083673289
397792
2360
28785
27663
28756
27518
39910
15500
1164485777
397798
6280
30954
29761
30925
29589
42907
16665
1053399386
398001
2360
28785
27663
28756
27518
39910
15500
1700840014
398002
6280
30954
29761
30925
29589
42907
16665
1508835307
398003
6280
30954
29761
30925
29589
42907
16665
1023042264
398005
7560
28180
27092
28147
26942
39069
15166
1588660377
398010
7560
28180
27092
28147
26942
39069
15166
1346247095
398023
3680
28253
27158
28219
27013
39173
15214
1861499840
398024
6280
30954
29761
30925
29589
42907
16665
1093109266
398025
9280
28449
27342
28414
27195
39438
15312
1457359747
398034
7560
28180
27092
28147
26942
39069
15166
1396778585
398041
7560
28180
27092
28147
26942
39069
15166
1255692281
398043
3680
28253
27158
28219
27013
39173
15214
1811949217
398046
6280
30954
29761
30925
29589
42907
16665
1568415800
398048
6280
30954
29761
30925
29589
42907
16665
1740674910
398051
39
27812
29637
30999
29898
46487
12927
1164535720
398061
39
27812
29637
30999
29898
46487
12927
1639261167
398066
6160
33246
31954
33211
31770
46065
17892
1376762237
398067
7560
28180
27092
28147
26942
39069
15166
1003020306
398069
6280
30954
29761
30925
29589
42907
16665
1083808927
398076
7560
28180
27092
28147
26942
39069
15166
1861691800
398084
6160
33246
31954
33211
31770
46065
17892
1275524373
398087
6280
30954
29761
30925
29589
42907
16665
1578710026
398093
7560
28180
27092
28147
26942
39069
15166
1861630030
398100
6160
33246
31954
33211
31770
46065
17892
1639300999
398113
6280
30954
29761
30925
29589
42907
16665
1477786648
398133
280
28811
27696
28785
27545
39944
15507
1427485887
398135
6280
30954
29761
30925
29589
42907
16665
1508194291
398137
280
28811
27696
28785
27545
39944
15507
1154653475
398140
240
30327
29152
30291
28992
42041
16327
1902235195
398144
9140
27643
26567
27613
26424
38328
14876
1184931941
398159
3240
29948
28788
29915
28624
41508
16123
1487075016
398225
7560
28180
27092
28147
26942
39069
15166
1033524921
398228
280
28811
27696
28785
27545
39944
15507
1578978482
398232
9280
28449
27342
28414
27195
39438
15312
1841514023
398247
3240
29948
28788
29915
28624
41508
16123
1306381678
398250
240
30327
29152
30291
28992
42041
16327
1740637644
398270
3240
29948
28788
29915
28624
41508
16123
1386135440
398303
240
30327
29152
30291
28992
42041
16327
1669088423
398342
240
30327
29152
30291
28992
42041
16327
999991
999991
3240
29948
28788
29915
28624
41508
16123
1669671236
BWC010
39
27812
29637
30999
29898
46487
12927
1649907072
BWC011
6160
33246
31954
33211
31770
46065
17892
1649864406
BWC012
6160
33246
31954
33211
31770
46065
17892