| Effective for Treatment Rendered April 7, 2003 through August 9, 2009 |
| Full Text of Automobile Medical
Fee Schedule Rule - PDF (Effective April 7, 2003) |
| Exhibit 1 |
Physicians' Fee Schedule - PDF or MS Excel (Effective
July 16, 2001) |
| Exhibit 2 |
Dental Fee Schedule - PDF or MS Excel (Effective July 6, 2009) |
| Exhibit 2 |
Dental Fee Schedule - PDF or MS Excel (Effective March 4, 2002 until December 19, 2004) |
| Exhibit 3 |
Home Care Services - PDF or MS Excel (Effective
June 15, 2009) |
| Exhibit 4 |
Fee Schedule Ambulance Services - PDF or MS Excel (Effective July 16, 2001) |
| Exhibit 5 |
Fee Schedule for Durable
Medical Equipment and Prosthetic Devices - PDF or MS Excel (Effective July 16, 2001) |
| Exhibit 6 |
CPT Codes Subject
to Daily Maximum - PDF or MS Excel (Effective April 7, 2003) |
|
| Effective for Treatment rendered on or after August 10, 2009 through January 3, 2013 |
| Fee
Schedule Rule Text - PDF or MS
Word (Effective for treatment
rendered on or after August 10, 2009) |
| Exhibit 1 |
Physicians'
Fee Schedule - PDF or MS
Excel (Effective for treatment
rendered on or after August 10, 2009) |
| Exhibit 2 |
Dental Fee Schedule - PDF or MS Excel (Effective for treatment
rendered on or after July 6, 2009) |
| Exhibit 3 |
Home Care Services - PDF or MS Excel (Effective
for treatment
rendered on or after June 15, 2009) |
| Exhibit 4 |
Ambulance
Services - PDF or MS
Excel (Effective for treatment
rendered on or after August 10, 2009) |
| Exhibit 5 |
Durable
Medical Equipment - PDF or MS
Excel (Effective
for treatment
rendered on or after August 10, 2009) |
| Exhibit 6 |
CPT
Codes Subject to Daily Maximum - PDF or MS
Excel (Effective
for treatment
rendered on or after August 10, 2009) |
| Exhibit 7 |
Ambulatory
Surgical Center Fee Schedule - PDF or MS
Excel (Effective for treatment
rendered on or after August 10, 2009) |
|