Florida
For Florida, fee schedule basis is percentage of Medicare; primary conversion factor ($) is 175 percent of the reimbursement allowed by Medicare; surgery conversion factor ($) is 210 percent of the reimbursement allowed by Medicare; other conversion factors is Emergency services without an assigned maximum reimbursement allowance: 250 percent of Medicare (provision expires June 30, 2026); outpatient scheduled surgeries: 60 percent of charges; update methodology is By July 1 of each year the department notifies carriers and self-insurers of the physician and nonhospital services schedule of maximum reimbursement allowances, recorded from its source on 2026-08-18.
- State
- Florida verified
- Fee schedule basis
- percentage of Medicare verified
- Primary conversion factor ($)
- 175 percent of the reimbursement allowed by Medicare verified
- Surgery conversion factor ($)
- 210 percent of the reimbursement allowed by Medicare verified
- Other conversion factors
- Emergency services without an assigned maximum reimbursement allowance: 250 percent of Medicare (provision expires June 30, 2026); outpatient scheduled surgeries: 60 percent of charges our reading
- Update methodology
- By July 1 of each year the department notifies carriers and self-insurers of the physician and nonhospital services schedule of maximum reimbursement allowances our reading
- Source citation
- Fla. Stat. § 440.13(12)(f)-(g) our reading
Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.
What the source says
(f)  Maximum reimbursement for a physician licensed under chapter 458 or chapter 459 shall be 175 percent of the reimbursement allowed by Medicare, using appropriate codes and modifiers or the medical reimbursement level adopted by the three-member panel as of January 1, 2003, whichever is greater. (g)  Maximum reimbursement for surgical procedures shall be 210 percent of the reimbursement allowed by Medicare or the medical reimbursement level adopted by the three-member panel as of January 1, 2003, whichever is greater.
— leg.state.fl.us, retrieved 2026-08-18
Source
- leg.state.fl.ushttps://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/Sections/0440.13.html