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2021 WC FEE SCHEDULE

PART A (Tables A through J) and PART B

This site provides the 2021 Workers' Compensation Fee Schedule for Part A (Tables A through J) and Part B medical providers.

Please read the Fee Schedule Update Memo* which accompanies the January 2021 updates. The memo is available in PDF format.

If you are unable to access this memo using the free Adobe Acrobat Reader, please contact us for a hard copy of this memo at: 717-787-3486.*

Questions or comments may be sent to: RA-LI-BWC-HCSRD@pa.gov

Web Page Update On: 12/31/2020

The Fee Schedule is provided below in HTML and PDF formats.

COVID-19

Important Notes and Instructions

  • Table I is not available online. To obtain Table I, please contact the Bureau of Workers' Compensation by e-mail or telephone, 717-787-3486.
  • The Workers' Compensation Fee Schedule is best viewed at 800 x 600 pixels.
  • Please be patient when accessing these pages. The size of the Part B Fee Schedule and some of the Part A Tables are large and require some time to load. If you require assistance with these tables, please e-mail or telephone, 717-787-3486.
Please note that this is a courtesy copy of the fee schedule and is not to be used for repricing.

Part A Tables

HTML Version

PDF Version*

A

 Provider #390001 to #390125
Provider #390127 to #99993		 Table A: Prospective Payment System

B

 DRG #1 to #200
DRG #201 to #400
DRG #401 to #495		 Table B: Federal Register Table 5

C

 Provider #395001 to #395421
Provider #395422 to 395700
Provider #395701 to #99995		 Table C: Skilled Nursing Facilities

D

 Provider #397001 to #397302
Provider #397400 to #99991		 Table D: Home Health Agency

EF-1

 ASC Procedure Table Table EF-1: Ambulatory Surgical Center List

F

 Ambulatory Surgical Centers Providers Table F: Ambulatory Surgical Centers Providers

G

 Physical Therapy Per Visit Based Provider & OP End Stage Renal Dialysis Table Table G: Physical Therapy Per Visit Based Provider & OP End Stage Renal Dialysis Table

H

 Pharmacy RCC Table H: Pharmacy RCC

J

 Out-of-State RCC Table J: Out-of-State RCC

Part B
Tables

 Part B Available from individual pages.

 

* PDF does not currently meet Accessibility Standards