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Alaska Workers' Compensation Fee Schedule Comparative Study 2024

According to the 2024 Oregon workers' compensation premium rate ranking study, Alaska is six percent over the median price for cost of premiums. After many years of being ranked at the top of the chart for expense, Alaska has moved to the middle of the chart below several states in affordability including New York, at 82% higher than median, and New Jersey at 98% of median.

A comparison of common medical procedure reimbursements under Workers' Compensation between Alaska and neighboring states.

As directed by the Commissioner of Labor, the Medical Services Review Committee and the Alaska Workers' Compensation Board worked relentlessly with Alaska medical providers to efficiently control medical spending, speed up the claim process, and mediate disagreements to lower the cost of delivering benefits to injured workers in Alaska. The goal was to assist injured workers in returning to the work force in a timely manner while ensuring injured employees receive the proper medical care.

It is understood that many goods and services cost more in Alaska and work continues to monitor the cost of the delivery of these items, but good progress has been made. Here is a table of common procedures and the cost of delivery of those in Alaska compared to Oregon, Idaho, and Montana.

Prepared by the Director of Workers Compensation with assistance of our partners at National Council on Compensation Insurance, Inc. (NCCI) December of 2025.

Download this data as Excel file


Comparison of Workers' Compensation medical procedure reimbursement rates: Alaska, Oregon, Idaho, and Montana
Category Code1 Description Alaska WC Fee Schedule Oregon WC Fee Schedule Idaho WC Fee Schedule Montana WC Fee Schedule
      Effective 01/01/2024 Effective 04/01/2024 Hospital Inpatient: Effective 10/01/2023
All Other: Effective 01/01/2024
Effective 07/01/2024
Physician2     
Surgery      
 29881Arthroscopy Knee w/ Meniscus Repair$2,391.60$1,421.31$2,227.50$997.76
 23412Repair of Rotator Cuff$3,779.22$2,225.86$3,488.40$1,562.54
 29826Arthroscopy shoulder surgical w/decompression$771.89$1,834.07$688.50$308.40
 63030Laminotomy w/ decompression$3,953.98$2,399.00$3,759.75$1,684.09
 29807Arthroscopy shoulder surgical; labral tear$4,583.50$2,693.60$4,221.45$1,890.90
 29888Arthroscopic ligament repair$4,336.38$2,534.24$3,971.70$1,779.03
 64483Injection anesthetic agent/steroid epidural$1,036.19$667.78$655.20$447.48
 29880Arthroscopy knee surgical; with meniscectomy$2,484.65$1,474.72$2,311.20$1,035.25
 23420Reconstruction of complete shoulder$4,313.22$2,543.71$3,986.55$1,785.68
 29827Arthroscopy Shoulder Surgical rotator cuff repair$4,748.58$2,778.88$4,355.10$1,950.76
Radiology     
 73221MRI, upper extremity joint$881.93$906.85$554.26$378.54
 73721MRI on lower extremity$880.62$926.40$553.38$377.94
 72148MRI of spine$840.84$861.94$522.39$356.77
 73222MRI, shoulder and upper arm$1,340.47$699.24$856.18$584.74
 72141MRI of spine$838.23$855.14$520.62$355.56
 73110Radiography, forearm and hand$169.63$89.66$109.79$74.98
 73030Radiography, shoulder and upper arm$145.28$75.93$92.97$63.49
 73610Radiography, lower leg, foot, ankle$151.32$79.54$97.39$66.52
 76942Ultrasonic guidance for needle placement$259.20$125.82$154.06$105.22
 73140Radiologic examination, finger$155.83$83.16$101.82$69.54
Medicine     
 97110Therapeutic treatment to develop strength and range of motion.$90.80$52.51$43.12$53.21
 97140Manual therapy techniques$84.07$48.33$39.69$48.98
 97530Therapeutic activities functional improvement$109.49$65.64$53.90$66.52
 97112Therapeutic procedure reeducation of movement$103.71$60.27$49.49$61.07
 98941Chiropractic manipulative treatment Spinal 3-4 regions$125.45$89.29$57.82$71.35
 97014Electrical Stimulation$37.64$22.08$18.13$22.37
 98940Chiropractic manipulative treatment Spinal 1-2 regions$85.94$63.78$40.18$49.59
 97012Mechanical Traction$44.31$25.06$20.58$25.40
 97035Ultrasound Therapy$42.97$25.06$20.58$25.40
 97124Massage Therapy$90.04$54.30$44.59$55.03
Evaluation and Management    
 99213Established patient office or other outpatient visit, over 20 minutes$275.75$209.04$191.10$165.08
 99214Established patient office or other outpatient visit, over 30 minutes$391.83$294.79$269.50$232.81
 99456Work related medical disability examination by other than treating physician, complex evaluation$1,700.00N/AN/AN/A
 99203New patient office or other outpatient visit, over 30 minutes$337.08$256.51$234.50$202.57
 99204New patient office or other outpatient visit, over 45 minutes$511.89$384.38$351.40$303.56
 99212Established patient office or other outpatient visit, over 10 minutes$168.13$130.17$119.00$102.80
 99284Emergency room visit of moderate complexity with injury of high severity$390.96$251.12$251.30$217.09
 99285Emergency room visit of moderate complexity with injury of high severity and significant threat to life$567.35$363.74$364.00$314.44
 99283Emergency room visit of moderate complexity$229.45$147.59$147.70$127.59
 99205New patient office or other outpatient visit, over 60 minutes$676.91$506.89$463.40$400.31
Facility      
DRG3      
 4554Anterior/Posterior Spinal Fusion without Complication$94,063.57 - $189,702.12No MAR$46,977.12$46,705.39
 493Lower Extremity and Humerus Procedures Except Hip, Foot, and Femur with Complication$49,511.08 - $105,095.20No MAR$24,497.34$24,355.64
 494lower extremity and humerus procedure$38,746.43 - $84,652.72No MAR$19,065.84$18,955.56
 481hip and femur procedure with complication$42,904.72 - $92,549.47No MAR$21,163.98$21,041.56
 561Aftercare, Musculoskeletal System and Connective Tissue$16,731.97 - $42,846.40No MAR$7,958.04$7,912.01
 028Spinal Procedure with Major Complication$122,779.40 - $244,234.60No MAR$61,466.22$61,110.68
 603Cellulitis without Major Complication$18,844.47 - $46,858.12No MAR$9,023.94$8,971.74
 4544Anterior/Posterior Spinal Fusion with Complication$124,602.82 - $247,697.34No MAR$62,386.26$62,025.40
 906Hand Procedures for Injuries$38,997.10 - $85,128.75No MAR$19,192.32$19,081.31
 329Major Small and Large Bowel Procedures with Major Complication$92,268.45 - $186,293.12No MAR$46,071.36$45,804.87
Ambulatory Surgical Center (ASC)    
 23430Repair, Revision, and/or Reconstruction of shoulder$13,105.02$4,842.14$7,137.56$7,644.60
 29827Arthroscopy Shoulder Surgical rotator cuff repair$13,105.02$3,699.49$7,137.56$7,644.60
 29881Arthroscopy Knee Surgical with Meniscectomy (medial or lateral)$5,929.34$2,073.72$3,229.37$3,458.78
 29888Arthroscopically Aided ACL Repair$13,105.02$4,906.04$7,137.56$7,644.60
 29880Arthroscopy Knee Surgical with Meniscectomy (medial and lateral)$5,929.34$2,073.72$3,229.37$3,458.78
 64415Injection, Diagnostic, or Therapeutic on Somatic Nerves (nerve block)$1,669.67$682.31$909.37$973.97
 64483Injection, Diagnostic, or Therapeutic on Somatic Nerves (nerve block)$1,669.67$682.31$909.37$973.97
 20680Removal of implant hardware$5,205.13$1,642.86$2,834.94$3,036.32
 64721Decompression/ Transposition median nerve at carpal tunnel$3,536.85$1,288.79$1,926.32$2,063.16
 01810Anesthesia of Forearm, Wrist, and HandNot Separately PayableN/ANot Separately PayableNot Separately Payable
Other      
HCPCS      
 S9122Home Health AideNo MARN/AN/ANo MAR
 S9123Nursing care in Home by RNNo MARN/AN/ANo MAR
 S9124Nursing care in Home by LPNNo MARN/AN/ANo MAR
 S9131Physical therapy in HomeN/AN/AN/ANo MAR
 S9338Home Infusion TherapyNo MARN/AN/ANo MAR
 S9500Home Infusion Therapy, every 24 hoursNo MARN/AN/ANo MAR
 S9502Home Infusion Therapy, every 8 hoursN/AN/AN/ANo MAR
 L8699Prosthetic ImplantNo MARN/ANot Separately PayableNo MAR
 E0676Intermittent Limb Compression deviceNo MARN/ANo MARNo MAR
 A4556Electrodes Per PairNot Separately Payable$19.19$12.36$26.00

Notes:

N/A = Not applicable. The procedure code was not listed or mentioned in the given State's applicable Reimbursement Payment Structure or Fee Schedule.

No MAR = No Maximum Allowable Reimbursement (MAR) amount. Fee schedule reimbursement based on charges, invoice costs, etc.

Not Separately Payable = Reimbursement for this ancillary service is assumed under the payment of other primary service(s).

Footnotes:

1 Includes Current Procedural Terminology (CPT) codes, Medicare Severity Diagnosis-Related Groups (DRG) codes, and Healthcare Common Procedure Coding System (HCPCS) codes.

CPT Copyright 2025 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

2 The reimbursements for physician services can vary depending on place of service. The values shown above for physician services are based on the non-facility MAR amount.

3 The MAR for DRG codes in Alaska varies by hospital.

4 MS-DRG 454 and 455 were deleted as of 10/1/2024. These DRG codes have been replaced by the following new codes:
          MS–DRG 402 (Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical)
          MS–DRG 427 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC)
          MS–DRG 428 (Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/ MCC)
          MS–DRG 430 (Combined Anterior and Posterior Cervical Spinal Fusion without MCC)

last updated: 07/07/2026