2018 Alabama Workers' Compensation Prevailing

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2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE0025T-6CPTCODE: 241.9910060-2CPTCODE: 111.5211308-2CPTCODE: 217.7511623-2CPTCODE: 378.050025T-ACPTCODE: 241.9910061-2CPTCODE: 181.4711310-2CPTCODE: 137.2511624-2CPTCODE: 482.010025T-MCPTCODE: 241.9910080-2CPTCODE: 147.4311311-2CPTCODE: 204.9511626-2CPTCODE: 652.130025T-NCPTCODE: 241.9910081-2CPTCODE: 321.3311312-2CPTCODE: 250.7111640-2CPTCODE: 260.870025T-PCPTCODE: 159.3610120-2CPTCODE: 105.8511313-2CPTCODE: 320.2311641-2CPTCODE: 292.970099T-2CPTCODE: 2,487.5910121-2CPTCODE: 277.8311400-2CPTCODE: 100.9711642-2CPTCODE: 359.1201953-4CPTCODE: 48.0510140-2CPTCODE: 98.2911401-2CPTCODE: 145.2411643-2CPTCODE: 491.4601967-4CPTCODE: 545.9710160-2CPTCODE: 90.7411402-2CPTCODE: 164.7511644-2CPTCODE: 519.8001968-4CPTCODE: 163.8010180-2CPTCODE: 425.2911403-2CPTCODE: 224.9711646-2CPTCODE: 642.6701996-6CPTCODE: 92.6211000-2CPTCODE: 85.0411404-2CPTCODE: 274.6011720-2CPTCODE: 60.7603410-ICPTCODE: 283.5311001-2CPTCODE: 58.5911406-2CPTCODE: 389.7211721-2CPTCODE: 105.060437T-2CPTCODE: 210.1711004-2CPTCODE: 772.8411420-2CPTCODE: 115.1411730-2CPTCODE: 124.7507210-7CPTCODE: 102.0711005-2CPTCODE: 849.5811421-2CPTCODE: 139.9611732-2CPTCODE: 60.4607210-ICPTCODE: 102.0711006-2CPTCODE: 966.0511422-2CPTCODE: 221.4311740-2CPTCODE: 88.8007220-7CPTCODE: 145.5311008-2CPTCODE: 512.4811423-2CPTCODE: 274.6011750-2CPTCODE: 510.3607220-ICPTCODE: 145.5311010-2CPTCODE: 293.8811424-2CPTCODE: 327.7311755-2CPTCODE: 116.0507230-7CPTCODE: 262.7211011-2CPTCODE: 462.9511426-2CPTCODE: 434.0211760-2CPTCODE: 120.9807230-ICPTCODE: 262.7211012-2CPTCODE: 640.2611440-2CPTCODE: 138.1711762-2CPTCODE: 538.6807240-7CPTCODE: 283.5311042-2CPTCODE: 302.4411441-2CPTCODE: 175.3711765-2CPTCODE: 548.1407240-ICPTCODE: 283.5311043-2CPTCODE: 472.5411442-2CPTCODE: 263.9711770-2CPTCODE: 812.7807241-7CPTCODE: 330.7811044-2CPTCODE: 661.5811443-2CPTCODE: 318.8811771-2CPTCODE: 1,030.1507241-ICPTCODE: 330.7811045-2CPTCODE: 47.5911444-2CPTCODE: 407.4411772-2CPTCODE: 1,606.6507250-7CPTCODE: 115.2911046-2CPTCODE: 84.7611446-2CPTCODE: 478.3011900-2CPTCODE: 52.9107250-ICPTCODE: 115.2911047-2CPTCODE: 138.7211450-2CPTCODE: 889.2911901-2CPTCODE: 153.1007260-7CPTCODE: 1,483.8211055-2CPTCODE: 61.3911451-2CPTCODE: 1,162.4711920-2CPTCODE: 109.6307260-ICPTCODE: 1,483.8211056-2CPTCODE: 80.8011462-2CPTCODE: 807.7911921-2CPTCODE: 166.3207310-7CPTCODE: 238.1711057-2CPTCODE: 101.8011463-2CPTCODE: 961.9111922-2CPTCODE: 253.2707310-ICPTCODE: 238.1711100-2CPTCODE: 115.2911470-2CPTCODE: 990.2611950-2CPTCODE: 109.6307320-ICPTCODE: 302.4411101-2CPTCODE: 58.5911471-2CPTCODE: 1,162.4711951-2CPTCODE: 166.3209220-7CPTCODE: 292.9711200-2CPTCODE: 98.2911600-2CPTCODE: 219.2811952-2CPTCODE: 253.2709220-ICPTCODE: 292.9711201-2CPTCODE: 49.1411601-2CPTCODE: 260.8711954-2CPTCODE: 359.1209240-ICPTCODE: 239.1511300-2CPTCODE: 78.7011602-2CPTCODE: 321.3311960-2CPTCODE: 3,666.0510021-2CPTCODE: 72.3111301-2CPTCODE: 113.4511603-2CPTCODE: 378.0511970-2CPTCODE: 4,073.3810022-2CPTCODE: 72.3111302-2CPTCODE: 129.9211604-2CPTCODE: 463.0911971-2CPTCODE: 4,073.3810030-2CPTCODE: 174.1111303-2CPTCODE: 177.5111606-2CPTCODE: 519.8011980-2CPTCODE: 205.7610035-2CPTCODE: 94.0011305-2CPTCODE: 89.6811620-2CPTCODE: 221.1711981-2CPTCODE: 244.9510036-2CPTCODE: 47.3011306-2CPTCODE: 109.7711621-2CPTCODE: 279.7611982-2CPTCODE: 61.9810040-2CPTCODE: 52.9111307-2CPTCODE: 173.8611622-2CPTCODE: 311.8811983-2CPTCODE: 306.93Page 1

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE12001-2CPTCODE: 107.7413121-2CPTCODE: 510.3615150-2CPTCODE: 653.5215757-2CPTCODE: 8,467.7012002-2CPTCODE: 139.9013122-2CPTCODE: 174.8115151-2CPTCODE: 155.4715758-2CPTCODE: 8,093.4112004-2CPTCODE: 185.2313131-2CPTCODE: 387.4815152-2CPTCODE: 191.0515760-2CPTCODE: 2,173.7512005-2CPTCODE: 238.1713132-2CPTCODE: 793.8915155-2CPTCODE: 956.5615770-2CPTCODE: 2,599.0312006-2CPTCODE: 463.0913133-2CPTCODE: 380.5715156-2CPTCODE: 303.0415775-2CPTCODE: 60.4612007-2CPTCODE: 500.9113151-2CPTCODE: 500.9115157-2CPTCODE: 326.7615777-2CPTCODE: 219.3012011-2CPTCODE: 124.7513152-2CPTCODE: 850.5815200-2CPTCODE: 793.8915780-2CPTCODE: 2,599.0312013-2CPTCODE: 185.2313153-2CPTCODE: 403.7815201-2CPTCODE: 595.4015781-2CPTCODE: 803.3612014-2CPTCODE: 236.2713160-2CPTCODE: 1,701.1915220-2CPTCODE: 1,219.1815782-2CPTCODE: 557.6012015-2CPTCODE: 268.4214000-2CPTCODE: 746.6215221-2CPTCODE: 661.5815783-2CPTCODE: 119.0812016-2CPTCODE: 359.1214001-2CPTCODE: 1,096.3415240-2CPTCODE: 982.9315786-2CPTCODE: 119.0812017-2CPTCODE: 482.0114020-2CPTCODE: 737.1815241-2CPTCODE: 897.8315787-2CPTCODE: 105.8512018-2CPTCODE: 510.3614021-2CPTCODE: 1,342.0715260-2CPTCODE: 1,710.6115788-2CPTCODE: 2,597.4612020-2CPTCODE: 1,115.2014040-2CPTCODE: 1,039.6315261-2CPTCODE: 1,030.1515789-2CPTCODE: 2,597.4612021-2CPTCODE: 1,464.8914041-2CPTCODE: 1,398.7315271-2CPTCODE: 148.4015792-2CPTCODE: 1,026.4912031-2CPTCODE: 162.5614060-2CPTCODE: 1,266.4315272-2CPTCODE: 28.2915793-2CPTCODE: 1,026.4912032-2CPTCODE: 224.9114061-2CPTCODE: 1,842.9315273-2CPTCODE: 304.7715819-2CPTCODE: 2,173.7512034-2CPTCODE: 311.8814301-2CPTCODE: 1,790.3315274-2CPTCODE: 72.3815820-2CPTCODE: 1,540.5012035-2CPTCODE: 491.4614302-2CPTCODE: 376.5215275-2CPTCODE: 159.4415821-2CPTCODE: 2,211.5412036-2CPTCODE: 595.4014350-2CPTCODE: 1,153.0015276-2CPTCODE: 35.2015822-2CPTCODE: 1,748.4112037-2CPTCODE: 642.6715002-2CPTCODE: 283.9115277-2CPTCODE: 308.9115823-2CPTCODE: 1,748.4112041-2CPTCODE: 149.3215003-2CPTCODE: 143.2415278-2CPTCODE: 85.4615824-2CPTCODE: 2,173.7512042-2CPTCODE: 221.1715004-2CPTCODE: 312.3015570-2CPTCODE: 1,937.4415825-2CPTCODE: 3,251.1512044-2CPTCODE: 253.2715005-2CPTCODE: 157.4415572-2CPTCODE: 1,937.4415826-2CPTCODE: 1,748.4112045-2CPTCODE: 281.6615040-2CPTCODE: 243.7615574-2CPTCODE: 1,937.4415828-2CPTCODE: 6,322.7212046-2CPTCODE: 425.2915050-2CPTCODE: 349.6715576-2CPTCODE: 1,937.4415829-2CPTCODE: 1,748.4112047-2CPTCODE: 482.0115100-2CPTCODE: 1,049.0415600-2CPTCODE: 841.1315830-2CPTCODE: 2,446.7512051-2CPTCODE: 243.8315101-2CPTCODE: 302.4415610-2CPTCODE: 1,077.4315832-2CPTCODE: 6,322.7212052-2CPTCODE: 311.8815110-2CPTCODE: 776.0615620-2CPTCODE: 1,795.6815833-2CPTCODE: 6,322.7212053-2CPTCODE: 359.1215111-2CPTCODE: 146.2615630-2CPTCODE: 1,795.6815834-2CPTCODE: 6,322.7212054-2CPTCODE: 453.6315115-2CPTCODE: 1,075.1515650-2CPTCODE: 1,805.1515835-2CPTCODE: 6,322.7212055-2CPTCODE: 500.9115116-2CPTCODE: 279.3315731-2CPTCODE: 1,828.6115836-2CPTCODE: 6,322.7212056-2CPTCODE: 727.7115120-2CPTCODE: 1,531.0715734-2CPTCODE: 2,580.0915837-2CPTCODE: 3,005.4212057-2CPTCODE: 982.9315121-2CPTCODE: 595.4015736-2CPTCODE: 2,580.0915838-2CPTCODE: 3,005.4213100-2CPTCODE: 283.5315130-2CPTCODE: 653.5215738-2CPTCODE: 2,580.0915839-2CPTCODE: 3,005.4213101-2CPTCODE: 330.7815131-2CPTCODE: 119.9115740-2CPTCODE: 2,580.0915840-2CPTCODE: 4,215.1313102-2CPTCODE: 77.3515135-2CPTCODE: 1,195.0515750-2CPTCODE: 2,173.7515841-2CPTCODE: 4,215.1313120-2CPTCODE: 330.7815136-2CPTCODE: 163.3815756-2CPTCODE: 10,444.2815842-2CPTCODE: 4,215.13Page 2

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE15845-2CPTCODE: 5,122.4717111-2CPTCODE: 74.3219100-2CPTCODE: 122.8519355-2CPTCODE: 1,909.1115847-2CPTCODE: 378.1117250-2CPTCODE: 56.6919101-2CPTCODE: 652.1319357-2CPTCODE: 3,818.2015850-2CPTCODE: 62.3617260-2CPTCODE: 158.8719110-2CPTCODE: 784.4319361-2CPTCODE: 2,476.1815851-2CPTCODE: 62.3617261-2CPTCODE: 193.0819112-2CPTCODE: 784.4319364-2CPTCODE: 13,467.6915852-2CPTCODE: 330.7817262-2CPTCODE: 235.6019120-2CPTCODE: 746.6219366-2CPTCODE: 2,476.1815876-2CPTCODE: 1,351.5117263-2CPTCODE: 272.8119125-2CPTCODE: 740.8519367-2CPTCODE: 9,993.9515877-2CPTCODE: 1,351.5117264-2CPTCODE: 336.5919126-2CPTCODE: 740.8519368-2CPTCODE: 9,993.9515878-2CPTCODE: 1,351.5117266-2CPTCODE: 453.4919260-2CPTCODE: 4,082.8719369-2CPTCODE: 9,993.9515879-2CPTCODE: 1,351.5117270-2CPTCODE: 161.1919271-2CPTCODE: 5,784.0319370-2CPTCODE: 897.8315920-2CPTCODE: 1,256.9717271-2CPTCODE: 205.4719272-2CPTCODE: 5,784.0319371-2CPTCODE: 897.8315922-2CPTCODE: 1,625.5917272-2CPTCODE: 247.6219281-2CPTCODE: 241.0619380-2CPTCODE: 1,153.0015931-2CPTCODE: 973.4517273-2CPTCODE: 311.8819282-2CPTCODE: 67.8420005-2CPTCODE: 181.4715933-2CPTCODE: 1,323.1217274-2CPTCODE: 378.0519283-2CPTCODE: 140.5820100-2CPTCODE: 745.6815934-2CPTCODE: 1,153.0017276-2CPTCODE: 482.0119284-2CPTCODE: 68.2720101-2CPTCODE: 1,264.7915935-2CPTCODE: 1,748.4117280-2CPTCODE: 193.0819285-2CPTCODE: 119.2520102-2CPTCODE: 1,264.7915936-2CPTCODE: 1,389.2817281-2CPTCODE: 196.5719286-2CPTCODE: 63.8220103-2CPTCODE: 502.2015937-2CPTCODE: 1,748.4117282-2CPTCODE: 292.9719287-2CPTCODE: 187.5920150-2CPTCODE: 832.3315940-2CPTCODE: 1,105.7617283-2CPTCODE: 359.1219288-2CPTCODE: 87.6020200-2CPTCODE: 268.4215941-2CPTCODE: 1,502.7217284-2CPTCODE: 453.6319296-2CPTCODE: 941.3920205-2CPTCODE: 425.2915944-2CPTCODE: 1,389.2817286-2CPTCODE: 519.8019297-2CPTCODE: 471.3720206-2CPTCODE: 179.5615945-2CPTCODE: 1,748.4117311-2CPTCODE: 658.1419298-2CPTCODE: 1,075.6720220-2CPTCODE: 181.4715946-2CPTCODE: 2,561.2217312-2CPTCODE: 301.9719300-2CPTCODE: 933.0220225-2CPTCODE: 841.1315950-2CPTCODE: 973.4517313-2CPTCODE: 642.6619301-2CPTCODE: 833.6520240-2CPTCODE: 661.5815951-2CPTCODE: 1,323.1217314-2CPTCODE: 294.2319302-2CPTCODE: 2,321.5720245-2CPTCODE: 784.4315952-2CPTCODE: 1,389.2817315-2CPTCODE: 67.1019303-2CPTCODE: 1,206.6020250-2CPTCODE: 2,523.4315953-2CPTCODE: 1,748.4117340-2CPTCODE: 62.3619304-2CPTCODE: 1,229.8320251-2CPTCODE: 2,523.4315956-2CPTCODE: 2,230.4617360-2CPTCODE: 60.4619305-2CPTCODE: 2,334.4820500-2CPTCODE: 119.0815958-2CPTCODE: 2,599.0317380-2CPTCODE: 113.4219306-2CPTCODE: 4,166.9620501-2CPTCODE: 119.0816000-2CPTCODE: 96.4119000-2CPTCODE: 92.6219307-2CPTCODE: 2,328.0320520-2CPTCODE: 130.4316020-2CPTCODE: 92.6219001-2CPTCODE: 60.4619316-2CPTCODE: 4,470.3320525-2CPTCODE: 1,190.8416025-2CPTCODE: 102.0719020-2CPTCODE: 500.9119318-2CPTCODE: 4,470.3320526-2CPTCODE: 56.0716030-2CPTCODE: 130.4319030-2CPTCODE: 96.4119324-2CPTCODE: 2,476.1820527-2CPTCODE: 64.7916035-2CPTCODE: 302.4419081-2CPTCODE: 240.1719325-2CPTCODE: 2,476.1820550-2CPTCODE: 68.0616036-2CPTCODE: 123.8319082-2CPTCODE: 116.6819328-2CPTCODE: 1,304.2420551-2CPTCODE: 56.0717000-2CPTCODE: 81.4719083-2CPTCODE: 225.5419330-2CPTCODE: 1,039.6320552-2CPTCODE: 84.1217003-3CPTCODE: 35.5419084-2CPTCODE: 109.7419340-2CPTCODE: 1,162.4720553-2CPTCODE: 112.1517004-2CPTCODE: 323.1719085-2CPTCODE: 263.7519342-2CPTCODE: 1,720.0620555-2CPTCODE: 533.2717110-2CPTCODE: 54.9119086-2CPTCODE: 123.4519350-2CPTCODE: 1,909.1120600-2CPTCODE: 79.93Page 3

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE20604-2CPTCODE: 81.8820931-2CPTCODE: 546.1821070-2CPTCODE: 1,304.2421198-2CPTCODE: 2,145.3620605-2CPTCODE: 69.9220936-2CPTCODE: 546.1821100-2CPTCODE: 1,805.1521199-2CPTCODE: 1,949.8320606-2CPTCODE: 90.1820937-2CPTCODE: 1,802.5221110-2CPTCODE: 1,171.9121206-2CPTCODE: 2,703.0120610-2CPTCODE: 71.8420938-2CPTCODE: 1,802.5221116-2CPTCODE: 119.0821208-2CPTCODE: 1,549.9620611-2CPTCODE: 102.9920950-2CPTCODE: 281.6621120-2CPTCODE: 1,483.8221209-2CPTCODE: 1,446.0020612-2CPTCODE: 54.6520955-2CPTCODE: 6,804.7121121-2CPTCODE: 2,211.5421210-2CPTCODE: 2,939.2720615-2CPTCODE: 595.4020956-2CPTCODE: 5,850.8921122-2CPTCODE: 2,211.5421215-2CPTCODE: 2,939.2720650-2CPTCODE: 302.4420957-2CPTCODE: 5,850.8921123-2CPTCODE: 2,211.5421230-2CPTCODE: 1,559.4020660-2CPTCODE: 1,483.8220962-2CPTCODE: 6,804.7121125-2CPTCODE: 1,464.8921235-2CPTCODE: 1,549.9620661-2CPTCODE: 2,268.2220969-2CPTCODE: 9,262.0121127-2CPTCODE: 2,050.8921240-2CPTCODE: 3,723.7320662-2CPTCODE: 661.5820970-2CPTCODE: 9,262.0121137-2CPTCODE: 1,370.4121242-2CPTCODE: 3,959.9720663-2CPTCODE: 661.5820972-2CPTCODE: 7,702.5721138-2CPTCODE: 2,050.8921243-2CPTCODE: 5,576.1220664-2CPTCODE: 2,170.0220973-2CPTCODE: 7,702.5721139-2CPTCODE: 1,370.4121244-2CPTCODE: 1,739.0120665-2CPTCODE: 119.0820974-2CPTCODE: 1,833.5121141-2CPTCODE: 7,062.9521247-2CPTCODE: 4,753.8620670-2CPTCODE: 765.5520975-2CPTCODE: 1,822.3821142-2CPTCODE: 7,487.3521255-2CPTCODE: 2,939.2720680-2CPTCODE: 1,115.2021010-2CPTCODE: 2,703.0121143-2CPTCODE: 7,911.7921256-2CPTCODE: 6,681.8620690-2CPTCODE: 1,984.7021011-2CPTCODE: 500.8021145-2CPTCODE: 8,647.6921260-2CPTCODE: 6,681.8620692-2CPTCODE: 3,770.9421012-2CPTCODE: 542.6421146-2CPTCODE: 9,082.4321261-2CPTCODE: 8,364.1720693-2CPTCODE: 1,880.7221013-2CPTCODE: 781.3521147-2CPTCODE: 9,526.6621263-2CPTCODE: 8,902.8720694-2CPTCODE: 907.3221014-2CPTCODE: 839.1821150-2CPTCODE: 9,082.4321267-2CPTCODE: 6,681.8620696-2CPTCODE: 2,049.3121015-2CPTCODE: 4,281.3321151-2CPTCODE: 9,082.4321268-2CPTCODE: 8,364.1720802-2CPTCODE: 7,296.2021016-2CPTCODE: 1,684.5121154-2CPTCODE: 10,008.6221270-2CPTCODE: 1,956.3720805-2CPTCODE: 7,296.2021025-2CPTCODE: 1,304.2421155-2CPTCODE: 10,613.4821275-2CPTCODE: 4,460.8720808-2CPTCODE: 7,296.2021026-2CPTCODE: 803.3621159-2CPTCODE: 7,816.0121280-2CPTCODE: 1,200.3020816-2CPTCODE: 7,882.1621029-2CPTCODE: 973.4521160-2CPTCODE: 9,866.8721282-2CPTCODE: 1,200.3020822-2CPTCODE: 3,912.7221030-2CPTCODE: 803.3621172-2CPTCODE: 3,317.3121295-2CPTCODE: 1,559.4020824-2CPTCODE: 7,759.3021031-2CPTCODE: 727.7121175-2CPTCODE: 3,317.3121296-2CPTCODE: 1,984.7020827-2CPTCODE: 3,912.7221032-2CPTCODE: 803.3621179-2CPTCODE: 4,564.8321310-2CPTCODE: 444.1720838-2CPTCODE: 6,870.8821034-2CPTCODE: 2,117.0021180-2CPTCODE: 5,150.8221315-2CPTCODE: 240.0820900-2CPTCODE: 538.6821040-2CPTCODE: 727.7121181-2CPTCODE: 973.4521320-2CPTCODE: 680.4720902-2CPTCODE: 3,610.2921044-2CPTCODE: 2,230.4621182-2CPTCODE: 8,430.3321325-2CPTCODE: 841.1320910-2CPTCODE: 1,030.1521045-2CPTCODE: 2,230.4621183-2CPTCODE: 8,430.3321330-2CPTCODE: 1,984.7020912-2CPTCODE: 1,559.4021046-2CPTCODE: 1,901.3121184-2CPTCODE: 8,430.3321335-2CPTCODE: 3,241.6920920-2CPTCODE: 425.2921047-2CPTCODE: 2,853.4021188-2CPTCODE: 2,929.8321336-2CPTCODE: 805.1620922-2CPTCODE: 841.1321048-2CPTCODE: 1,901.3121193-2CPTCODE: 5,661.1621337-2CPTCODE: 238.1720924-2CPTCODE: 3,610.2921049-2CPTCODE: 3,056.2021194-2CPTCODE: 6,247.1221338-2CPTCODE: 1,200.3020926-2CPTCODE: 2,580.0921050-2CPTCODE: 2,703.0121195-2CPTCODE: 6,190.4321339-2CPTCODE: 1,984.7020930-2CPTCODE: 546.1821060-2CPTCODE: 2,703.0121196-2CPTCODE: 6,965.4021340-2CPTCODE: 2,636.83Page 4

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE21343-2CPTCODE: 2,410.0221465-2CPTCODE: 1,805.1521920-2CPTCODE: 238.1722510-2CPTCODE: 1,930.7921344-2CPTCODE: 2,763.0521470-2CPTCODE: 4,319.1121925-2CPTCODE: 491.4622511-2CPTCODE: 1,910.5921345-2CPTCODE: 2,759.6921480-2CPTCODE: 279.7621930-2CPTCODE: 238.1722512-2CPTCODE: 1,067.1321346-2CPTCODE: 2,636.8321485-2CPTCODE: 453.6321931-2CPTCODE: 756.7422513-2CPTCODE: 599.1321347-2CPTCODE: 3,789.8421490-2CPTCODE: 1,805.1521932-2CPTCODE: 1,086.5022514-2CPTCODE: 559.3721348-2CPTCODE: 3,101.5621497-2CPTCODE: 1,323.1221933-2CPTCODE: 1,198.4822515-2CPTCODE: 250.8221355-2CPTCODE: 661.5821501-2CPTCODE: 491.4621935-2CPTCODE: 4,536.5022532-2CPTCODE: 4,187.6021356-2CPTCODE: 1,445.5621502-2CPTCODE: 1,266.4321936-2CPTCODE: 2,329.2822533-2CPTCODE: 3,997.0621360-2CPTCODE: 1,370.4121510-2CPTCODE: 897.8322010-2CPTCODE: 1,231.9422534-2CPTCODE: 963.9821365-2CPTCODE: 3,648.0921550-2CPTCODE: 238.1722015-2CPTCODE: 1,231.9422548-2CPTCODE: 5,784.0321366-2CPTCODE: 3,970.7221552-2CPTCODE: 723.5122100-2CPTCODE: 1,682.2922551-2CPTCODE: 4,451.7021385-2CPTCODE: 2,447.8221554-2CPTCODE: 1,192.3222101-2CPTCODE: 1,682.2922552-2CPTCODE: 1,470.0021386-2CPTCODE: 2,410.0221555-2CPTCODE: 119.0822102-2CPTCODE: 1,682.2922554-2CPTCODE: 5,492.7021387-2CPTCODE: 3,317.3121556-2CPTCODE: 240.0822103-2CPTCODE: 970.5822556-2CPTCODE: 6,549.5521390-2CPTCODE: 2,882.5621557-2CPTCODE: 4,536.5022110-2CPTCODE: 3,742.5922558-2CPTCODE: 5,226.3921395-2CPTCODE: 3,789.8421558-2CPTCODE: 2,240.6822112-2CPTCODE: 3,742.5922585-2CPTCODE: 1,266.4321400-2CPTCODE: 897.8321600-2CPTCODE: 1,266.4322114-2CPTCODE: 3,742.5922586-2CPTCODE: 2,811.8921401-2CPTCODE: 1,805.1521610-2CPTCODE: 1,266.4322116-2CPTCODE: 970.5822590-2CPTCODE: 5,784.0321406-2CPTCODE: 2,410.0221615-2CPTCODE: 3,062.1222206-2CPTCODE: 3,995.1722595-2CPTCODE: 5,784.0321407-2CPTCODE: 2,910.9121616-2CPTCODE: 4,564.8322207-2CPTCODE: 3,943.2022600-2CPTCODE: 5,124.5921408-2CPTCODE: 2,817.9321620-2CPTCODE: 3,062.1222208-2CPTCODE: 978.6922610-2CPTCODE: 4,999.5721421-2CPTCODE: 1,625.5921627-2CPTCODE: 2,703.0122210-2CPTCODE: 4,564.8322612-2CPTCODE: 6,234.8521422-2CPTCODE: 2,457.2821630-2CPTCODE: 4,564.8322212-2CPTCODE: 4,564.8322614-2CPTCODE: 1,264.7921423-2CPTCODE: 3,046.6721632-2CPTCODE: 5,784.0322214-2CPTCODE: 4,564.8322630-2CPTCODE: 6,549.5521431-2CPTCODE: 1,984.7021685-2CPTCODE: 1,844.6922216-2CPTCODE: 1,144.7422632-2CPTCODE: 1,264.7921432-2CPTCODE: 3,978.8821700-2CPTCODE: 1,625.5922220-2CPTCODE: 5,292.5722633-2CPTCODE: 3,578.4321433-2CPTCODE: 5,472.1421705-2CPTCODE: 2,703.0122222-2CPTCODE: 5,292.5722634-2CPTCODE: 1,113.9521435-2CPTCODE: 9,025.7221720-2CPTCODE: 1,616.1022224-2CPTCODE: 5,292.5722800-2CPTCODE: 6,133.7121436-2CPTCODE: 9,826.1421725-2CPTCODE: 1,852.4122226-2CPTCODE: 1,144.7422802-2CPTCODE: 6,502.3121440-2CPTCODE: 897.8321740-2CPTCODE: 5,415.4422310-2CPTCODE: 567.0622804-2CPTCODE: 7,068.0121445-2CPTCODE: 1,729.5421742-2CPTCODE: 1,740.2322315-2CPTCODE: 1,805.1522808-2CPTCODE: 3,224.5821450-2CPTCODE: 888.3921743-2CPTCODE: 1,740.2322318-2CPTCODE: 1,649.1322810-2CPTCODE: 6,133.7121451-2CPTCODE: 944.2021750-2CPTCODE: 3,062.1222319-2CPTCODE: 2,060.6522812-2CPTCODE: 6,502.3121452-2CPTCODE: 1,789.2021811-2CPTCODE: 637.3422325-2CPTCODE: 4,215.1322818-2CPTCODE: 5,442.0621453-2CPTCODE: 1,805.1521812-2CPTCODE: 764.6322326-2CPTCODE: 4,215.1322819-2CPTCODE: 6,535.9421454-2CPTCODE: 3,440.1721813-2CPTCODE: 1,046.8922327-2CPTCODE: 4,215.1322830-2CPTCODE: 3,118.8521461-2CPTCODE: 2,343.8621820-2CPTCODE: 491.4622328-2CPTCODE: 1,264.7922840-2CPTCODE: 5,122.4621462-2CPTCODE: 2,570.6721825-2CPTCODE: 1,805.1522505-2CPTCODE: 491.4622841-2CPTCODE: 3,275.31Page 5

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE22842-2CPTCODE: 5,137.5723120-2CPTCODE: 1,502.7223460-2CPTCODE: 4,215.1323675-2CPTCODE: 841.1322843-2CPTCODE: 5,104.8723125-2CPTCODE: 1,502.7223462-2CPTCODE: 3,789.8423680-2CPTCODE: 3,544.1422844-2CPTCODE: 5,546.2023130-2CPTCODE: 1,512.1523465-2CPTCODE: 3,610.2923700-2CPTCODE: 793.8922845-2CPTCODE: 2,032.9223140-2CPTCODE: 1,266.4323466-2CPTCODE: 3,610.2923800-2CPTCODE: 3,733.1422846-2CPTCODE: 2,920.2423145-2CPTCODE: 1,852.4123470-2CPTCODE: 4,082.8723802-2CPTCODE: 4,215.1322847-2CPTCODE: 3,336.1723146-2CPTCODE: 1,502.7223472-2CPTCODE: 5,113.0223900-2CPTCODE: 4,819.9922848-2CPTCODE: 1,264.7923150-2CPTCODE: 3,317.3123473-2CPTCODE: 2,726.9023920-2CPTCODE: 3,610.2922849-2CPTCODE: 4,517.6023155-2CPTCODE: 4,999.5723474-2CPTCODE: 3,423.8723921-2CPTCODE: 661.5822850-2CPTCODE: 3,279.5123156-2CPTCODE: 3,922.1723480-2CPTCODE: 2,107.5823930-2CPTCODE: 177.6822852-2CPTCODE: 4,661.2623170-2CPTCODE: 1,323.1223485-2CPTCODE: 2,523.4323931-2CPTCODE: 119.0822855-2CPTCODE: 1,928.0123172-2CPTCODE: 1,030.1523490-2CPTCODE: 1,805.1523935-2CPTCODE: 897.8322858-2CPTCODE: 642.7523174-2CPTCODE: 2,703.0123491-2CPTCODE: 2,655.7424000-2CPTCODE: 1,937.4422900-2CPTCODE: 3,922.1723180-2CPTCODE: 1,030.1523500-2CPTCODE: 359.1224006-2CPTCODE: 2,241.5222901-2CPTCODE: 1,071.7423182-2CPTCODE: 1,030.1523505-2CPTCODE: 519.8024065-2CPTCODE: 240.0822902-2CPTCODE: 669.3723184-2CPTCODE: 2,703.0123515-2CPTCODE: 1,587.7924066-2CPTCODE: 491.4622903-2CPTCODE: 709.9823190-2CPTCODE: 1,502.7223520-2CPTCODE: 240.0824071-2CPTCODE: 652.1522904-2CPTCODE: 1,680.8223195-2CPTCODE: 1,502.7223525-2CPTCODE: 595.4024073-2CPTCODE: 1,120.9622905-2CPTCODE: 2,179.1623200-2CPTCODE: 3,610.2923530-2CPTCODE: 1,502.7224075-2CPTCODE: 614.3123000-2CPTCODE: 888.3923210-2CPTCODE: 5,717.8723532-2CPTCODE: 1,682.2924076-2CPTCODE: 1,124.6723020-2CPTCODE: 2,296.5823220-2CPTCODE: 2,759.6923540-2CPTCODE: 595.4024077-2CPTCODE: 4,536.5023030-2CPTCODE: 177.6823330-2CPTCODE: 120.9823545-2CPTCODE: 727.7124079-2CPTCODE: 2,090.5623031-2CPTCODE: 236.2723333-2CPTCODE: 648.7723550-2CPTCODE: 1,710.6124100-2CPTCODE: 1,143.5523035-2CPTCODE: 897.8323334-2CPTCODE: 1,153.6523552-2CPTCODE: 1,842.9324101-2CPTCODE: 1,691.7423040-2CPTCODE: 2,107.5823335-2CPTCODE: 1,414.1523570-2CPTCODE: 330.7824102-2CPTCODE: 2,098.1423044-2CPTCODE: 1,030.1523350-2CPTCODE: 120.9823575-2CPTCODE: 727.7124105-2CPTCODE: 850.5823065-2CPTCODE: 238.1723395-2CPTCODE: 4,215.1323585-2CPTCODE: 1,805.1524110-2CPTCODE: 2,098.1423066-2CPTCODE: 491.4623397-2CPTCODE: 4,215.1323600-2CPTCODE: 963.9924115-2CPTCODE: 2,599.0323071-2CPTCODE: 671.8423400-2CPTCODE: 2,410.0223605-2CPTCODE: 1,493.2824116-2CPTCODE: 2,230.4623073-2CPTCODE: 1,180.0223405-2CPTCODE: 1,682.2923615-2CPTCODE: 2,655.7424120-2CPTCODE: 1,682.2923075-2CPTCODE: 519.8023406-2CPTCODE: 2,523.4323616-2CPTCODE: 2,763.0524125-2CPTCODE: 2,107.5823076-2CPTCODE: 1,039.6323410-2CPTCODE: 2,041.4223620-2CPTCODE: 330.7824126-2CPTCODE: 1,852.4123077-2CPTCODE: 4,536.5023412-2CPTCODE: 3,033.7823625-2CPTCODE: 727.7124130-2CPTCODE: 1,937.4423078-2CPTCODE: 2,268.9823415-2CPTCODE: 822.2223630-2CPTCODE: 1,852.4124134-2CPTCODE: 2,523.4323100-2CPTCODE: 2,296.5823420-2CPTCODE: 3,436.3823650-2CPTCODE: 680.4724136-2CPTCODE: 1,682.2923101-2CPTCODE: 1,030.1523430-2CPTCODE: 2,523.4323655-2CPTCODE: 850.5824138-2CPTCODE: 1,266.4323105-2CPTCODE: 3,128.3023440-2CPTCODE: 2,523.4323660-2CPTCODE: 2,703.0124140-2CPTCODE: 2,523.4323106-2CPTCODE: 1,389.2823450-2CPTCODE: 3,459.0523665-2CPTCODE: 557.6024145-2CPTCODE: 1,682.2923107-2CPTCODE: 2,107.5823455-2CPTCODE: 3,922.1723670-2CPTCODE: 2,523.4324147-2CPTCODE: 1,266.43Page 6

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE24149-2CPTCODE: 1,640.0324370-2CPTCODE: 3,009.5824666-2CPTCODE: 2,523.4325111-2CPTCODE: 935.6524150-2CPTCODE: 5,717.8724371-2CPTCODE: 3,467.9324670-2CPTCODE: 302.4425112-2CPTCODE: 1,143.5524152-2CPTCODE: 3,789.8424400-2CPTCODE: 2,107.5824675-2CPTCODE: 661.5825115-2CPTCODE: 2,183.1524155-2CPTCODE: 3,128.3024410-2CPTCODE: 2,410.0224685-2CPTCODE: 1,540.5025116-2CPTCODE: 2,173.7524160-2CPTCODE: 1,266.4324420-2CPTCODE: 3,317.3124800-2CPTCODE: 3,374.0025118-2CPTCODE: 1,039.6324164-2CPTCODE: 841.1324430-2CPTCODE: 3,610.2924802-2CPTCODE: 3,789.8425119-2CPTCODE: 1,805.1524200-2CPTCODE: 111.5224435-2CPTCODE: 4,215.1324900-2CPTCODE: 2,107.5825120-2CPTCODE: 1,653.9124201-2CPTCODE: 614.3124470-2CPTCODE: 2,107.5824920-2CPTCODE: 1,852.4125125-2CPTCODE: 2,069.7724220-2CPTCODE: 119.0824495-2CPTCODE: 1,852.4124925-2CPTCODE: 661.5825126-2CPTCODE: 1,805.1524300-2CPTCODE: 522.3624498-2CPTCODE: 2,655.7424930-2CPTCODE: 2,107.5825130-2CPTCODE: 1,143.5524301-2CPTCODE: 2,476.1824500-2CPTCODE: 737.1824931-2CPTCODE: 2,523.4325135-2CPTCODE: 1,559.4024305-2CPTCODE: 1,266.4324505-2CPTCODE: 1,077.4324935-2CPTCODE: 1,739.0125136-2CPTCODE: 1,559.4024310-2CPTCODE: 1,030.1524515-2CPTCODE: 2,655.7424940-2CPTCODE: 3,610.2925145-2CPTCODE: 1,682.2924320-2CPTCODE: 2,599.0324516-2CPTCODE: 2,543.4725000-2CPTCODE: 992.3425150-2CPTCODE: 1,682.2924330-2CPTCODE: 2,523.4324530-2CPTCODE: 746.6225001-2CPTCODE: 861.7525151-2CPTCODE: 1,682.2924331-2CPTCODE: 3,317.3124535-2CPTCODE: 1,077.4325020-2CPTCODE: 888.3925170-2CPTCODE: 3,610.2924332-2CPTCODE: 1,149.5124538-2CPTCODE: 2,098.1425023-2CPTCODE: 1,852.4125210-2CPTCODE: 1,219.1824340-2CPTCODE: 2,107.5824545-2CPTCODE: 2,948.7125024-2CPTCODE: 414.6525215-2CPTCODE: 2,107.5824341-2CPTCODE: 2,382.0624546-2CPTCODE: 2,817.9325025-2CPTCODE: 1,770.7225230-2CPTCODE: 1,323.1224342-2CPTCODE: 2,948.7124560-2CPTCODE: 425.2925028-2CPTCODE: 177.6825240-2CPTCODE: 1,323.1224343-2CPTCODE: 2,141.1124565-2CPTCODE: 841.1325031-2CPTCODE: 119.0825246-2CPTCODE: 119.0824344-2CPTCODE: 4,223.1724566-2CPTCODE: 1,446.0025035-2CPTCODE: 888.3925248-2CPTCODE: 784.4324345-2CPTCODE: 2,141.1124575-2CPTCODE: 1,852.4125040-2CPTCODE: 1,937.4425250-2CPTCODE: 784.4324346-2CPTCODE: 4,223.1724576-2CPTCODE: 538.6825065-2CPTCODE: 238.1725251-2CPTCODE: 1,200.3024350-2CPTCODE: 841.1324577-2CPTCODE: 992.3425066-2CPTCODE: 491.4625259-2CPTCODE: 363.0024351-2CPTCODE: 1,020.7024579-2CPTCODE: 2,703.0125071-2CPTCODE: 682.9125260-2CPTCODE: 1,230.2624352-2CPTCODE: 1,266.4324582-2CPTCODE: 1,446.0025073-2CPTCODE: 850.2525263-2CPTCODE: 1,724.3424354-2CPTCODE: 1,266.4324586-2CPTCODE: 4,281.3325075-2CPTCODE: 793.8925265-2CPTCODE: 2,586.4924356-2CPTCODE: 1,776.8224587-2CPTCODE: 4,281.3325076-2CPTCODE: 1,124.6725270-2CPTCODE: 997.7724357-2CPTCODE: 643.3824600-2CPTCODE: 349.6725077-2CPTCODE: 4,536.5025272-2CPTCODE: 1,230.2624358-2CPTCODE: 925.4824605-2CPTCODE: 727.7125078-2CPTCODE: 1,823.5525274-2CPTCODE: 1,724.3424359-2CPTCODE: 1,020.7524615-2CPTCODE: 2,107.5825085-2CPTCODE: 1,502.7225275-2CPTCODE: 1,027.0124360-2CPTCODE: 4,328.5824620-2CPTCODE: 841.1325100-2CPTCODE: 1,143.5525280-2CPTCODE: 1,446.0024361-2CPTCODE: 3,610.2924635-2CPTCODE: 2,220.9725101-2CPTCODE: 1,143.5525290-2CPTCODE: 1,030.1524362-2CPTCODE: 3,610.2924640-2CPTCODE: 170.1025105-2CPTCODE: 1,805.1525295-2CPTCODE: 1,323.1224363-2CPTCODE: 5,349.2624650-2CPTCODE: 727.7125107-2CPTCODE: 1,446.0025300-2CPTCODE: 2,296.5824365-2CPTCODE: 1,323.1224655-2CPTCODE: 888.3925109-2CPTCODE: 562.6525301-2CPTCODE: 1,984.7024366-2CPTCODE: 2,107.5824665-2CPTCODE: 1,909.1125110-2CPTCODE: 727.7125310-2CPTCODE: 1,984.70Page 7

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE25312-2CPTCODE: 2,296.5825491-2CPTCODE: 1,852.4125695-2CPTCODE: 1,559.4026115-2CPTCODE: 595.4025315-2CPTCODE: 2,296.5825492-2CPTCODE: 2,835.3325800-2CPTCODE: 2,343.8626116-2CPTCODE: 1,039.6325316-2CPTCODE: 3,128.3025500-2CPTCODE: 548.1425805-2CPTCODE: 2,882.5626117-2CPTCODE: 1,266.4325320-2CPTCODE: 3,440.1725505-2CPTCODE: 727.7125810-2CPTCODE: 2,882.5626118-2CPTCODE: 1,709.1225332-2CPTCODE: 2,931.7925515-2CPTCODE: 2,107.5825820-2CPTCODE: 2,343.8626121-2CPTCODE: 1,635.0225335-2CPTCODE: 3,440.1725520-2CPTCODE: 1,665.1525825-2CPTCODE: 2,835.3326123-2CPTCODE: 1,635.0225337-2CPTCODE: 2,300.9725525-2CPTCODE: 2,415.4025830-2CPTCODE: 2,761.1526125-2CPTCODE: 661.5825350-2CPTCODE: 1,805.1525526-2CPTCODE: 2,415.4025900-2CPTCODE: 1,805.1526130-2CPTCODE: 1,323.1225355-2CPTCODE: 2,523.4325530-2CPTCODE: 463.0925905-2CPTCODE: 1,682.2926135-2CPTCODE: 1,483.8225360-2CPTCODE: 2,107.5825535-2CPTCODE: 926.1925907-2CPTCODE: 661.5826140-2CPTCODE: 1,323.1225365-2CPTCODE: 2,948.7125545-2CPTCODE: 1,852.4125909-2CPTCODE: 1,852.4126145-2CPTCODE: 1,483.8225370-2CPTCODE: 2,948.7125560-2CPTCODE: 614.3125915-2CPTCODE: 1,805.1526160-2CPTCODE: 822.2225375-2CPTCODE: 3,733.1425565-2CPTCODE: 1,171.9125920-2CPTCODE: 1,805.1526170-2CPTCODE: 784.4325390-2CPTCODE: 2,107.5825574-2CPTCODE: 2,708.1225922-2CPTCODE: 661.5826180-2CPTCODE: 784.4325391-2CPTCODE: 2,599.0325575-2CPTCODE: 3,109.3825924-2CPTCODE: 1,805.1526185-2CPTCODE: 814.2825392-2CPTCODE: 2,948.7125600-2CPTCODE: 680.4725927-2CPTCODE: 1,502.7226200-2CPTCODE: 1,323.1225393-2CPTCODE: 3,317.3125605-2CPTCODE: 860.0225929-2CPTCODE: 538.6826205-2CPTCODE: 1,682.2925394-2CPTCODE: 1,102.2825606-2CPTCODE: 1,038.8425931-2CPTCODE: 1,502.7226210-2CPTCODE: 1,200.3025400-2CPTCODE: 2,343.8625607-2CPTCODE: 1,005.2826010-2CPTCODE: 120.9826215-2CPTCODE: 1,549.9625405-2CPTCODE: 2,759.6925608-2CPTCODE: 1,059.4826011-2CPTCODE: 266.4826230-2CPTCODE: 1,030.1525415-2CPTCODE: 3,128.3025609-2CPTCODE: 1,176.9226020-2CPTCODE: 888.3926235-2CPTCODE: 784.4325420-2CPTCODE: 3,610.2925622-2CPTCODE: 491.4626025-2CPTCODE: 765.5526236-2CPTCODE: 661.5825425-2CPTCODE: 2,599.0325624-2CPTCODE: 935.6526030-2CPTCODE: 1,502.7226250-2CPTCODE: 1,559.4025426-2CPTCODE: 3,317.3125628-2CPTCODE: 1,918.5726034-2CPTCODE: 888.3926260-2CPTCODE: 1,559.4025430-2CPTCODE: 774.7025630-2CPTCODE: 453.6326035-2CPTCODE: 897.8326262-2CPTCODE: 1,559.4025431-2CPTCODE: 1,702.8425635-2CPTCODE: 708.8226037-2CPTCODE: 1,323.1226320-2CPTCODE: 1,039.6325440-2CPTCODE: 2,599.0325645-2CPTCODE: 1,805.1526040-2CPTCODE: 538.6826340-2CPTCODE: 208.0725441-2CPTCODE: 1,559.4025650-2CPTCODE: 425.2926045-2CPTCODE: 1,323.1226341-2CPTCODE: 76.2725442-2CPTCODE: 1,549.9625651-2CPTCODE: 454.4926055-2CPTCODE: 803.3626350-2CPTCODE: 1,520.8825443-2CPTCODE: 1,805.1525652-2CPTCODE: 566.6326060-2CPTCODE: 538.6826352-2CPTCODE: 2,664.0125444-2CPTCODE: 1,805.1525660-2CPTCODE: 727.7126070-2CPTCODE: 935.6526356-2CPTCODE: 1,724.3425445-2CPTCODE: 1,805.1525670-2CPTCODE: 1,852.4126075-2CPTCODE: 784.4326357-2CPTCODE: 1,724.3425446-2CPTCODE: 3,789.8425671-2CPTCODE: 861.7526080-2CPTCODE: 746.6226358-2CPTCODE: 2,664.0125447-2CPTCODE: 2,684.0825675-2CPTCODE: 661.5826100-2CPTCODE: 935.6526370-2CPTCODE: 1,588.7325449-2CPTCODE: 1,805.1525676-2CPTCODE: 1,323.1226105-2CPTCODE: 784.4326372-2CPTCODE: 2,034.3225450-2CPTCODE: 1,266.4325680-2CPTCODE: 1,266.4326110-2CPTCODE: 661.5826373-2CPTCODE: 1,598.4325455-2CPTCODE: 1,805.1525685-2CPTCODE: 1,805.1526111-2CPTCODE: 661.9926390-2CPTCODE: 1,598.4325490-2CPTCODE: 2,107.5825690-2CPTCODE: 1,030.1526113-2CPTCODE: 871.1726392-2CPTCODE: 2,160.24Page 8

2018 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective January 1, 2018CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE26410-2CPTCODE: 620.0026508-2CPTCODE: 1,598.4326608-2CPTCODE: 869.2026861-2CPTCODE: 595.4026412-2CPTCODE: 1,356.2426510-2CPTCODE: 2,392.7526615-2CPTCODE: 907.3226862-2CPTCODE: 1,559.4026415-2CPTCODE: 852.4826516-2CPTCODE: 1,323.1226641-2CPTCODE: 519.802

cpt code:11740-2 88.80 cpt code:11750-2 510.36 cpt code:11755-2 116.05 cpt code:11760-2 120.98 cpt code:11762-2 538.68 cpt code:11765-2 548.14 cpt code:11770-2 812.78 cpt code:11771-2 1,030.15 cpt code:11772-2 1,606.65 cpt code:11900-2 52.91 cpt code:11901-2 153.10 cpt code:11920-2 109.63 cpt code

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