PAPennsylvania workers’ comp fee schedule
Administered by Pennsylvania Bureau of Workers’ Compensation
Authority. 77 P.S. §531; 34 Pa. Code §127
Reimbursement methodology
Methodology type
% of Medicare
Pennsylvania caps medical reimbursement at 113% of the Medicare fee schedule for most services under §531(3). The Bureau of Workers’ Compensation publishes the annual Medical Cost Containment fee schedule based on that statutory multiplier.
- Update frequency
- Annual
- Appeals & disputes
- Providers may apply for fee review with the Bureau under 34 Pa. Code §127.251 et seq.; decisions are appealable to a hearing officer.
Sources & citations
Every datum on this page traces to an authoritative government source. We cite the issuing agency, the underlying statute, and (when applicable) the operative regulation so you can verify the schedule for your own records.
Issuing agency
PA Bureau of WC — Medical Cost Containment
Statute
77 P.S. §531
Attribution. Pennsylvania Bureau of Workers’ Compensation. BlueHive’s fee schedule reference is informational; always confirm against the agency’s current published schedule before billing.
More state fee schedules
Bordering Pennsylvania
Important Legal Notice
The regulatory information presented on BlueHive Compliance Watch is provided for general informational purposes only and should not be construed as legal advice. While we strive to maintain accurate and up-to-date information, regulations can change rapidly and may be subject to interpretation.
You should always:
- Consult with qualified legal counsel before making compliance decisions
- Verify information with official government sources
- Review the full text of any regulation cited herein
- Consider jurisdiction-specific requirements that may apply to your organization
BlueHive Health, LLC makes no warranties or representations about the accuracy, completeness, or timeliness of this information. We are not responsible for any actions taken or not taken based on this content.
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