Class 1   $ 874   Class 3   $3,496
Class 2   $1,573   Class 4   $5,768
Ins 17.28(6)(f)(f) For a physician for whom this state is not a principal place of practice:
Class 1   $ 729   Class 3   $2,916
Class 2   $1,312   Class 4   $4,811
Ins 17.28(6)(g)(g) For a nurse anesthetist for whom this state is a principal place of practice:   $ 358
Ins 17.28(6)(h)(h) For a nurse anesthetist for whom this state is not a principal place of practice:   $ 179
Ins 17.28(6)(i)(i) For a hospital, all of the following fees:
Ins 17.28(6)(i)1.1. Per occupied bed   $ 87
Ins 17.28(6)(i)2.2. Per 100 outpatient visits during the last calendar year for which totals are available:   $ 4.35
Ins 17.28(6)(j)(j) For a nursing home, as described under s. 655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated:
Per occupied bed     $ 17
Ins 17.28(6)(k)(k) For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
Ins 17.28(6)(k)1.1.
Ins 17.28(6)(k)1.a.a. If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10   $ 51
Ins 17.28(6)(k)1.b.b. If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100   $ 503
Ins 17.28(6)(k)1.c.c. If the total number of partners and employed physicians and nurse anesthetists exceeds 100   $1,252
Ins 17.28(6)(k)2.2. The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:
Employed Health Care Professionals   Fund Fee
Nurse Practitioners   $ 364
Advanced Nurse Practitioners   510
Nurse Midwives     3,205
Advanced Nurse Midwives   3,351
Advanced Practice Nurse Prescribers   510
Chiropractors     583
Dentists     291
Oral Surgeons     2,186
Podiatrists-Surgical   6,192
Optometrists       291