Minnesota workers’ comp
Code 22862 — maximum allowable reimbursement
Minnesota (statewide)
Maximum allowable (non-facility)
$4,177.58
Single statewide rate
Show your work — how this rate is computed
Minnesotaprices workers’-comp physician services by the RBRVS formula (Minn. Stat. §176.136 / Minn. R. 5221.4030): each RVU component is scaled by its Minnesota (statewide) GPCI, summed, then multiplied by the conversion factor.
- RVUs: CMS National Physician Fee Schedule Relative Value File (PPRRVU2025_Jul.csv) — CMS ↗
- GPCIs: CMS Geographic Practice Cost Indices — by payment locality
- Conversion factor $67.2900: Minnesotaworkers’ comp fee schedule (Minn. Stat. §176.136 / Minn. R. 5221.4030) — source ↗
- Methodology verified to the penny against the CMS Physician Fee Schedule Look-Up Tool (national) and the state’s Medicare contractor (locality).
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