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Good Evening
11:12:28 PM CDT
Friday, May 22, 2015

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Fee Schedules

Reimbursement of medical treatment for both in-state and out-of-state providers is according to the applicable WSI Fee Schedule. Out-of-state specific codes or billing guidelines are not accepted.

WSI utilizes the most current CPT® code set, with all level I and level II HCPC codes. The presence of a code and an associated amount in a fee schedule is not a guarantee of payment. An Advanced Beneficiary Notice of Non-Payment (ABN) form is available as an option for services WSI may not cover.

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