Contact Information
- Website - Division of Worker's Compensation
- Email - Bureau of Claims Management
78000 - 79400
| CPT Code | Region | Zip Codes | Formula Amount |
|---|---|---|---|
| 78000 | SW | 535\537\538\539 | $427.35 |
| 78205 | NW | 540\544\546\547\548 | $775.68 |
| 78205 | SE | 530\531\532\533\534 | $958.54 |
| 78205 | SW | 535\537\538\539 | $918.13 |
| 78215 | NW | 540\544\546\547\548 | $766.49 |
| 78215 | SE | 530\531\532\533\534 | $842.82 |
| 78215 | SW | 535\537\538\539 | $823.35 |
| 78223 | SE | 530\531\532\533\534 | $868.79 |
| 78223 | SW | 535\537\538\539 | $618.13 |
| 78278 | NW | 540\544\546\547\548 | $899.89 |
| 78278 | SE | 530\531\532\533\534 | $1,127.95 |
| 78278 | SW | 535\537\538\539 | $938.65 |
| 78290 | NW | 540\544\546\547\548 | $597.96 |
| 78290 | SE | 530\531\532\533\534 | $490.70 |
| 78290 | SW | 535\537\538\539 | $642.10 |
| 78300 | NW | 540\544\546\547\548 | $774.00 |
| 78300 | SE | 530\531\532\533\534 | $873.51 |
| 78300 | SW | 535\537\538\539 | $537.94 |
| 78305 | NW | 540\544\546\547\548 | $710.76 |
| 78305 | SE | 530\531\532\533\534 | $670.63 |
| 78305 | SW | 535\537\538\539 | $534.86 |
| 78306 | NW | 540\544\546\547\548 | $997.03 |
| 78306 | SE | 530\531\532\533\534 | $1,127.77 |
| 78306 | SW | 535\537\538\539 | $670.84 |
| 78315 | NW | 540\544\546\547\548 | $975.87 |
| 78315 | SE | 530\531\532\533\534 | $1,163.44 |
| 78315 | SW | 535\537\538\539 | $986.36 |
| 78320 | SE | 530\531\532\533\534 | $996.13 |
| 78320 | SW | 535\537\538\539 | $906.05 |
| 78460 | NW | 540\544\546\547\548 | $576.83 |
| 78460 | SE | 530\531\532\533\534 | $771.34 |
| 78460 | SW | 535\537\538\539 | $491.26 |
| 78461 | NW | 540\544\546\547\548 | $1,091.82 |
| 78461 | SE | 530\531\532\533\534 | $1,432.81 |
| 78461 | SW | 535\537\538\539 | $1,014.16 |
| 78464 | SE | 530\531\532\533\534 | $616.95 |
| 78464 | SW | 535\537\538\539 | $659.36 |
| 78465 | NW | 540\544\546\547\548 | $1,236.55 |
| 78465 | SE | 530\531\532\533\534 | $1,187.14 |
| 78465 | SW | 535\537\538\539 | $1,342.76 |
| 78466 | NW | 540\544\546\547\548 | $529.44 |
| 78466 | SE | 530\531\532\533\534 | $546.98 |
| 78466 | SW | 535\537\538\539 | $341.77 |
| 78469 | NW | 540\544\546\547\548 | $324.61 |
| 78469 | SE | 530\531\532\533\534 | $237.62 |
| 78469 | SW | 535\537\538\539 | $253.22 |
| 78472 | SE | 530\531\532\533\534 | $964.43 |
| 78472 | SW | 535\537\538\539 | $802.44 |
| 78473 | NW | 540\544\546\547\548 | $1,256.59 |
| 78473 | SE | 530\531\532\533\534 | $1,455.76 |
| 78473 | SW | 535\537\538\539 | $672.28 |
| 78478 | NW | 540\544\546\547\548 | $224.29 |
| 78478 | SE | 530\531\532\533\534 | $209.98 |
| 78478 | SW | 535\537\538\539 | $145.79 |
| 78481 | NW | 540\544\546\547\548 | $270.21 |
| 78481 | SE | 530\531\532\533\534 | $266.57 |
| 78481 | SW | 535\537\538\539 | $220.38 |
| 78580 | NW | 540\544\546\547\548 | $638.72 |
| 78580 | SE | 530\531\532\533\534 | $987.09 |
| 78580 | SW | 535\537\538\539 | $705.59 |
| 78585 | NW | 540\544\546\547\548 | $1,281.73 |
| 78585 | SE | 530\531\532\533\534 | $1,023.27 |
| 78587 | NW | 540\544\546\547\548 | $667.18 |
| 78587 | SE | 530\531\532\533\534 | $679.93 |
| 78587 | SW | 535\537\538\539 | $689.89 |
| 78593 | NW | 540\544\546\547\548 | $560.95 |
| 78593 | SE | 530\531\532\533\534 | $586.31 |
| 78596 | SE | 530\531\532\533\534 | $1,005.99 |
| 78601 | SE | 530\531\532\533\534 | $322.29 |
| 78606 | SW | 535\537\538\539 | $1,167.08 |
| 78607 | NW | 540\544\546\547\548 | $842.41 |
| 78607 | SE | 530\531\532\533\534 | $962.74 |
| 78740 | NW | 540\544\546\547\548 | $358.44 |
| 78740 | SE | 530\531\532\533\534 | $367.81 |
| 78740 | SW | 535\537\538\539 | $320.65 |
| 78761 | NW | 540\544\546\547\548 | $528.94 |
| 78761 | SE | 530\531\532\533\534 | $597.44 |
| 78761 | SW | 535\537\538\539 | $557.28 |
| 78800 | NW | 540\544\546\547\548 | $705.67 |
| 78800 | SE | 530\531\532\533\534 | $819.93 |
| 78800 | SW | 535\537\538\539 | $561.64 |
| 78801 | NW | 540\544\546\547\548 | $1,005.29 |
| 78801 | SE | 530\531\532\533\534 | $1,304.04 |
| 78801 | SW | 535\537\538\539 | $622.24 |
| 78802 | NW | 540\544\546\547\548 | $1,079.46 |
| 78802 | SE | 530\531\532\533\534 | $974.44 |
| 78802 | SW | 535\537\538\539 | $1,302.17 |
| 78803 | NW | 540\544\546\547\548 | $1,139.59 |
| 78803 | SE | 530\531\532\533\534 | $1,399.94 |
| 78803 | SW | 535\537\538\539 | $993.23 |
| 78805 | NW | 540\544\546\547\548 | $1,098.61 |
| 78805 | SE | 530\531\532\533\534 | $1,176.56 |
| 78805 | SW | 535\537\538\539 | $863.16 |
| 78990 | SE | 530\531\532\533\534 | $1,063.75 |
| 79000 | SW | 535\537\538\539 | $752.98 |
| 79030 | SW | 535\537\538\539 | $1,026.80 |
| 79035 | SW | 535\537\538\539 | $1,311.27 |
| 79100 | SW | 535\537\538\539 | $849.72 |
| 79400 | SE | 530\531\532\533\534 | $404.52 |
| 79400 | SW | 535\537\538\539 | $865.63 |