Rule 40 – Vermont’s Medical Fee Schedule

Workers’ Compensation Medical Fee Schedule

All portions of the Workers’ Compensation Medical Fee Schedule are available in PDF format.

Applicable FARS/DFARS Restrictions Apply to Government Use Text of Rule 40

Appendix 1, Table A – Maximum Allowable Base Unit Values for Anesthesia Reimbursement

Appendix 1, Table B – Maximum Allowable Payments

Appendix 2– Other Services Which Can Be Billed With the -50 Modifier

Appendix 3– Payment for Major Procedures (Unbundling)

Applicable FARS/DFARS Restrictions Apply to Government Use

If you have any questions regarding this rule please contact Trudy Smith at (802) 828-2991 or trudy.smith@vermont.gov.