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Flash Code shows the RBRVS calculation. Here's the calculation for fees allowed when the procedure is a high risk C-section delivery following attempted vaginal delivery after previous C-section. Note the GPCI for Malpractice in California, that has tort reform is 0.954, whereas in Florida (the next screen shot down) the Malpractice GPCI is 2.269---over two times higher. | ||||||||||||||||||