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PPO Reimbursement Factors

State By State

2008

The following list are conversion factors so you can determine local fees throughout each state. This list is very accurate. To determine your final fee screen, take the PPO reimbursement fee and multiply it by the conversion factor in a particular state.

Alabama

  • Tuscaloosa, Bessemer, Collman - 0.827
  • Birmingham - 0.859
  • Montgomery - 0.805
  • Mobile - 0.810

Alaska

  • Fairbanks - 1.302
  • Juneau - 1.189

Arizona

  • Mesa, Scottsdale - 1.008
  • Phoenix - 1.007
  • Tuscon - .997
  • Flagstaff - .982

Arkansas

  • Fort Smith - .988
  • Hot Springs - .888
  • Little Rock - .902
  • Fayetteville - .987

California

  • Los Angeles - 1.150
  • Sacramento - 1.277
  • San Francisco - 1.161
  • San Diego - 1.011
  • Santa Barbara - 1.044
  • Fresno - 1.102
  • Pasadena - 1.201
  • San Jose - 1,114
  • Stockton - .966
  • Berkeley - 1.048

Colorado

  • Boulder - 1.046
  • Denver - .998
  • Colorado Springs - 1.011

Connecticut

  • Hartford - 1.221
  • Danbury - 1.200

Delaware

  • Dover - .961

District of Columbia

  • Washington DC - 1.159

Florida

  • Daytona Beach - .944
  • Jacksonville - .948
  • Tallahassee - .940
  • Orlando - 1.001
  • Miami - 1.188
  • Fort Lauderdale - 1.118
  • St. Petersburg - .965
  • Tampa - 1.053
  • Naples - 1.056
  • Sarasota - .922
  • Stuart - .847

Georgia

  • Atlanta - 1.133
  • Augusta - .977
  • Savanna - 1.001
  • Marietta - 1.052

Hawaii

  • All - 1.008

Idaho

  • Idaho Falls - .817
  • Twin Falls - .864
  • Boise - .919

Illinois

  • Elgin - 1.222
  • Chicago - 1.227
  • Rockford - 1.082
  • Peoria - .904
  • Champaign - 1.201
  • Springfield - 1.075

Indiana

  • Indianapolis - 1.070
  • Muncie - .971
  • Gary - 1.033
  • Goshen - .976
  • Ft. Wayne - .967
  • Evansville - .945

Iowa

  • Des Moines - .882
  • Mason City - .862
  • Sioux City - .930
  • Dubuque - .900

Kansas

  • Kansas City - .886
  • Topeka - .911
  • Wichita - .940

Kentucky

  • Louisville - .983
  • Lexington - 1.033
  • Bowling Green - .900

Louisiana

  • New Orleans - .999
  • Lake Charles - .960
  • Sheveport - .995

Maine

  • Portland - 1.100
  • Bangor - .960
  • Lewiston - .992

Maryland

  • Baltimore - 1.118
  • Bethesda - 1.107
  • Columbia - 1.026

Massachusetts

  • Springfield - 1.022
  • Worchester - 1.140
  • Boston - 1.128
  • Cambridge - 1.086

Michigan

  • Detroit - .975
  • Kalamazoo - .909
  • Alpena - .904
  • Lansing - .855

Minnesota

  • Minneapolis - 1.080
  • Duluth - 1.079
  • Rochester - 1.228

Mississippi

  • Jackson - .960
  • Biloxi - .950

Missouri

  • St. Louis - 1.011
  • Springfield - .970
  • Kansas City - .889

Montana

  • Billings - .940
  • Missoula - .850

Nebraska

  • Omaha - .940
  • Norfolk - .828

Nevada

  • Las Vegas - 1.090
  • Reno - 1.111

New Hampshire

  • Dover - .899
  • Manchester - 1.019

New Jersey

  • Newark - 1.292
  • Middletown - 1.091
  • New Brunswick - 1.337

New Mexico

  • Albuquerque - .967
  • Gallup - .976

New York

  • Manhattan - 1.435
  • Brooklyn - 1.200
  • Albany - .986
  • Buffalo - .786
  • Rochester - .028

North Carolina

  • Greensboro - 1.294
  • Winston - Salem - 1.033
  • Raleigh - 1.066
  • Charlotte - 1.169
  • Asheville - .978

North Dakota

  • Bismark - .925
  • Fargo - 1.001

Ohio

  • Cincinnati - .946
  • Dayton - .978
  • Columbus - 1.009
  • Toledo - .944
  • Cleveland - .997

Oklahoma

  • Oklahoma City - .932
  • Tulsa - .963

Oregon

  • Portland - 1.088
  • Salem - .981
  • Eugene - .970

Pennsylvania

  • Philadelphia - 1.137
  • Pittsburgh - 1.018
  • Lancaster - .936

Rhode Island

  • Entire State - .955

South Carolina

  • Columbia - 1.022
  • Greenville - .988
  • Charleston - .965

South Dakota

  • Rapid City - .901
  • Sioux Falls - .960

Tennessee

  • Nashville - 1.025
  • Memphis - 1.014
  • Chattanooga - .962

Texas

  • Dallas - 1.155
  • Houston - 1.092
  • San Antonio - 1.011
  • Corpus Christi - 1.001

Utah

  • Salt Lake City - .861
  • Provo - .817

Vermont

  • Entire State - .973

Virginia

  • Virginia Beach - .966
  • Arlington - 1.100
  • Lynchburg - .871
  • Roanoke -.955

Washington

  • Seattle - 1.033
  • Spokane - .873
  • Tacoma - .982

West Virginia

  • Charleston - 1.020
  • Wheeling - .970

Wisconsin

  • Green Bay - 1.188
  • Milwaukee - 1.229
  • Madison - 1.302
  • Wausau - 1.234

Wyoming

  • Entire State - .881

 

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