State Health Plan Fee Schedule

The State Health Plan fee schedule for 2018 is available to download in an Excel file format. The new schedule will take effect Jan. 1, 2018. To download the file, you must first log into My Insurance ManagerSM. If you have never used My Insurance Manager before, visit our Provider Tools section to learn more.

Once you have logged in, scroll down the page and find the "State Health Plan Fee Schedules" heading. Follow the link. You will first see the physician network agreement information, then the terms of use. Once you've accepted the terms, you can download the file to your computer.

The file includes the type of service, procedure codes, modifiers, nomenclature, non-office allowances and office allowances. It also contains several worksheets:

  1. 2018 State Health Plan Fees
  2. 2017 State Health Plan Fees
  3. 2018 Injection & Drug Fees
  4. 2017 Injection & Drug Fees
  5. 2018 Anesthesia Fees
  6. 2017 Anesthesia Fees 

We may update the file periodically. Please check back for updates.