Condensed 2 Page Black & White Schedule Of Benefits In PDF Format

These are condensed versions of our Schedule of Benefits listing the most common procedures.

There are two Schedules of Benefits for each state.  The Urban Schedule is used in any metropolitan area with a population greater than 100,000.  The Rural Schedule is used in any area with a population less than 100,000 and at least 50 miles away from an urban area.  If a facility is using the rural fee schedule it will be noted with their information on the Provider Locater page.

These Schedule of Benefits are in a PDF format and guaranteed virus free.  You will need to have Adobe® Acrobat Reader to open them.  If you do not have Acrobat Reader, you may download it for free at www.acrobat.com.  Look for the "Get Adobe Reader" icon.

State	State	State	State	State
Alabama - Zone 2	Hawaii - Zone 8	Massachusetts - Zone 8	New Mexico - Zone 3	South Dakota - Zone 5
Alaska - Zone 8	Idaho - Zone 3	Michigan - Zone 3	New York - Zone 7	Tennessee - Zone 2
Arizona - Zone 1	Illinois - Zone 5	Minnesota - Zone 6	North Carolina - Zone 4	Texas - Zone 4
Arkansas - Zone 2	Indiana - Zone 3	Mississippi - Zone 2	North Dakota - Zone 5	Utah - Zone 5
California - Zone 7	Iowa - Zone 4	Missouri - Zone 3	Ohio - Zone 7	Vermont - Zone 6
Colorado - Zone 6	Kansas - Zone 4	Montana - Zone 5	Oklahoma - Zone 2	Virginia - Zone 6
Connecticut - Zone 7	Kentucky - Zone 5	Nebraska - Zone 5	Oregon - Zone 6	Washington - Zone 7
Delaware - Zone 6	Louisiana - Zone 2	Nevada - Zone 6	Pennsylvania - Zone 5	Washington DC - Zone 8
Florida - Zone 5	Maine - Zone 5	New Hampshire - Zone 7	Rhode Island - Zone 6	West Virginia - Zone 3
Georgia - Zone 4	Maryland - Zone 8	New Jersey - Zone 8	South Carolina - Zone 4	Wisconsin - Zone 5
				Wyoming - Zone 5