Utah Administrative Code (Current through November 1, 2019) |
R590. Insurance, Administration |
R590-267. Personal Injury Protection Relative Value Study Rule |
R590-267-5. Conversion Factors
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(1)(a) The following conversion factors shall be used with RVP 2017 to determine the reasonable value of medical services or accommodations provided on or after January 1, 2018:
(i) anesthesia, 99.27;
(ii) surgery, 225.90;
(iii) radiology, 37.50;
(iv) pathology, 25.00;
(v) medicine, 13.00;
(vi) evaluation and management, 14.65.
(b) The conversion factor used with RVD 2017 to determine the reasonable value of dental services or accommodations provided on or after January 1, 2018 shall be 63.00.
(2)(a) The following conversion factors shall be used with RVP 2015 to determine the reasonable value of medical services or accommodations provided from January 1, 2016 through December 31, 2017:
(i) anesthesia, 97.13;
(ii) surgery, 200.00;
(iii) radiology, 35.84;
(iv) pathology, 24.29;
(v) medicine, 11.67;
(vi) evaluation and management, 13.16.
(b) The conversion factor used with RVD 2015 to determine the reasonable value of dental services or accommodations provided from January 1, 2016 through December 31, 2017 shall be 60.00.