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Medicare Physician Fee Schedule Effective Locality 02102-01 CMS RVU26D Updated

HCPCS G0402 Medicare rate in Anchorage, AK

Initial preventive exam in ZIPs including 99501, 99503, and 99507

The Medicare allowed amount is $220.90 in the Office (non-facility) setting and $156.51 in a facility, under the Q4 2026 Physician Fee Schedule. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied—not necessarily what a specific claim pays.

G0402 Q4 2026
Locality-adjusted allowed amount
$220.90
in a doctor’s own office or clinic

Anchorage, AK flag Anchorage, AK (Locality 02102-01)

26.5% above the national baseline ($174.69)

CMS RVU26DOctober 1 – December 31, 2026revision 2

( Work2.60 × 1.500 + Practice exp.2.46 × 1.065 + Malpractice0.17 × 0.551 ) × Conv. factor$33.4009 = $220.90

row 15,231

F Work RVU

2.60

G Non‑facility PE RVU

2.46

K MP RVU

0.17

Z Conversion factor

33.4009

row 5

E Work GPCI

1.500

F PE GPCI

1.065

G MP GPCI

0.551

The Medicare allowed amount is $220.90 in the Office (non-facility) setting and $156.51 in a facility, under the Q4 2026 Physician Fee Schedule. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied—not necessarily what a specific claim pays.

Assumes a participating provider, no modifiers, the whole service, before sequestration.

Customize service date, participation, and modifiers Check service-location ZIP CMS sources and method

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What Medicare locality is Anchorage, AK in? Copy link

CMS prices all of Alaska as one Medicare payment locality, so this amount applies statewide, including Fairbanks and Juneau—not only in Anchorage, AK.

Confirm the locality before using this amount. A split ZIP needs ZIP+4 for an exact match.

ZIP codes in this payment locality (276)

The CMS ZIP-to-locality crosswalk maps 276 ZIP codes to this payment locality. Use this amount only after you confirm the service location is in this locality.

99501 99502 99503 99504 99505 99506 99507 99508 99509 99510 99511 99512 99513 99514 99515 99516 99517 99518 99519 99520 99521 99522 99523 99524 99529 99530 99540 99545 99546 99547 99548 99549 99550 99551 99552 99553 99554 99555 99556 99557 99558 99559 99561 99563 99564 99565 99566 99567 99568 99569 99571 99572 99573 99574 99575 99576 99577 99578 99579 99580 99581 99583 99584 99585 99586 99587 99588 99589 99590 99591 99599 99602 99603 99604 99605 99606 99607 99608 99609 99610 99611 99612 99613 99614 99615 99619 99620 99621 99622 99623 99624 99625 99626 99627 99628 99629 99630 99631 99632 99633

176 more ZIP codes map to this locality. The Anchorage, AK locality page lists the full set.

Which ZIP codes does the Anchorage, AK rate for G0402 cover?

The CMS ZIP-to-locality crosswalk maps 276 ZIP codes to this payment locality, and G0402 has the same amount in every one of them. Examples include 99501, 99502, 99503, 99504, 99505, 99506.

Does this G0402 rate apply everywhere in Alaska?

Yes. CMS prices Alaska as a single Medicare payment locality, so the same GPCIs—and the same allowed amount—apply statewide, not only in Anchorage, AK. That includes Fairbanks and Juneau. The city name here is a search-facing label for a statewide payment locality, not a city-specific rate.

How locality affects the amount Copy link

Office (non-facility) · Q4 2026 · Participating · Whole service

Anchorage, AK (this locality)
$220.90
National PFS baseline (GPCI 1.000)
$174.69

Each of this locality's geographic practice cost indices (GPCIs) scales one RVU component before the conversion factor is applied. Together they put Anchorage, AK 26.5% above the national baseline.

Anchorage, AK ranks #1 of 109 Medicare payment localities for G0402, where #1 has the highest allowed amount.

Work GPCI
1.500
+$43.42 vs. national
Practice expense GPCI
1.065
+$5.34 vs. national
Malpractice GPCI
0.551
-$2.55 vs. national
2026 conversion factor
$33.4009

Each figure is that GPCI's share of the +$46.21 gap from the national baseline: its RVUs for G0402 × (GPCI − 1.000) × the conversion factor. Work accounts for the most, +$43.42.

CMS RVU26DOctober 1 – December 31, 2026revision 2 See file rows

Why is the G0402 rate in Anchorage, AK different from the national amount?

The national figure is a GPCI 1.000 baseline, not an amount any provider is paid. This locality's geographic practice cost indices—work 1.500, practice expense 1.065, malpractice 0.551—scale each RVU component before the conversion factor is applied, which is why the Anchorage, AK amount is higher than the $174.69 baseline.

G0402 in Anchorage, AK since Q4 2025 Copy link

Office (non-facility) · Participating · Whole service

The allowed amount went from $206.49 in Q4 2025 to $220.90 in Q4 2026, +$14.41 (+7.0%). The national baseline moved +8.7% over the same period.

What changed G0402's allowed amount in Anchorage, AK between Q4 2025 and Q4 2026
Conversion factor National: the dollar multiplier CMS sets each year. +$6.73
G0402's RVUs National: CMS revalued the code itself. +$9.22
Anchorage, AK's GPCIs Local: this payment locality's cost indices. -$1.54
Total change +$14.41

A derived breakdown of the two releases' formula inputs, applied in order: the conversion factor on Q4 2025's RVUs and GPCIs, then G0402's new RVUs, then this locality's new GPCIs. A different order moves a few cents between rows; the total is exact.

Formula and inputs Copy link

For the office (non-facility) amount, each of G0402's RVU components is multiplied by its Anchorage, AK GPCI; the products are summed and multiplied by the conversion factor.

Code
G0402
DOS
Not selected; uses this release’s rates
Locality
ALASKA* (AK)
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q4 2026, revision 2
Sequestration
Shown separately from the allowed amount

Formula

(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor

Localis calculated this from CMS’s published inputs. Select an underlined value to see where it comes from.

RVU × GPCI components of Anchorage, AK allowed amount for G0402
Component RVU × GPCI = Adjusted
Work 2.60 × 1.500 3.9000
Practice expense · Office (non-facility) 2.46 × 1.065 2.6199
Malpractice 0.17 × 0.551 0.0937
Sum of adjusted RVUs 6.6136
× 33.4009 conversion factor = formula amount $220.90

Component subtotals show four decimals. The formula amount is rounded to cents before any later adjustment.

  1. Locality-adjusted allowed amount $220.90

    After applicable fee-schedule adjustments; sequestration excluded

Citations

  • G0402’s RVUs, PFS status and conversion factor

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    PPRRVU2026_Oct_nonQPP.csv row 15,231 in rvu26d-updated-08-26-2026.zip

    A HCPCS
    G0402
    B Modifier
    blank
    D Status code
    A
    F Work RVU
    2.60
    G Non-facility PE RVU
    2.46
    K MP RVU
    0.17
    Z Conversion factor
    33.4009
    In the CMS file

    Loading rows 15,229–15,233 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

  • Locality 02102-01’s GPCIs

    Geographic practice cost indices (GPCI)CMS RVU26DOctober 1 – December 31, 2026revision 2

    GPCI2026.csv row 5 in rvu26d-updated-08-26-2026.zip

    A MAC
    02102
    C Locality number
    01
    E Work GPCI
    1.500
    F PE GPCI
    1.065
    G MP GPCI
    0.551
    In the CMS file

    Loading rows 3–7 of GPCI2026.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 7850e2987d12e46930e49033f96829b5ae11f60dd1f19965329b38cf08b05264

CMS RVU26DOctober 1 – December 31, 2026revision 2

Facility vs. Office (non-facility) Copy link

In a facility (hospital outpatient department or ASC), the allowed amount for G0402 in Anchorage, AK is $156.51, versus $220.90 in the Office (non-facility) setting. Only the practice-expense RVU changes with the setting: the facility bills its own fee for overhead, so the professional amount is lower. See which setting applies to your place of service.

What is the Facility amount for G0402 in Anchorage, AK?

$156.51 in a facility, versus $220.90 in the Office (non-facility) setting—a $64.39 difference. Only the practice-expense RVU changes with the setting: in the Office (non-facility) setting the practice carries the overhead, so the professional amount is higher; in a hospital or ASC the facility bills its own fee.

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Anchorage, AK. Medicare pays part of the allowed amount and the patient pays the rest; the rows below show each figure. See how the limiting charge and sequestration are derived.

Participation and payment-split amounts for G0402 in Anchorage, AK
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full. $220.90
Non-participating allowed amount 95% of the participating amount. $209.86
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim—115% of the non-participating amount. $241.34
Medicare share 80% of the allowed amount, once the annual Part B deductible is met. $176.72
Patient coinsurance The remaining 20%. $44.18
Sequestration adjustment Reduces only Medicare's share—never the allowed amount or the patient's coinsurance. $3.53
Net Medicare payment Medicare's share after the sequestration reduction. $173.19
What is the non-participating amount and limiting charge for G0402 in Anchorage, AK?

A non-participating provider is paid $209.86—95% of the $220.90 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $241.34, which is 115% of the non-participating amount.

How much of the Anchorage, AK G0402 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($176.72) once the annual Part B deductible is met, and the beneficiary owes 20% ($44.18). Sequestration reduces Medicare's share by about 2% ($3.53), leaving $173.19. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Contracted rate: % of Medicare in Anchorage, AK Copy link

Commercial contracts are often written as a percentage of the Medicare fee schedule. The part that gets misread is which Medicare amount: a contract benchmarked to the fee schedule prices off this locality's allowed amount—$220.90 in the office (non-facility) setting—not the $174.69 national baseline.

Opens the calculator set to Anchorage, AK and your selected setting, where you can also compare what a payer paid against the expected amount. See how to find your contract's actual percentage.

G0402 in comparable metros Copy link

Metros whose Office (non-facility) amount for G0402 sits closest to Anchorage, AK's, highest first. Each is that payment locality's own GPCI-adjusted amount.

Percentages are against Anchorage, AK. Every payment locality nationwide is on the HCPCS G0402 rate map.

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q4 2026 release: this code's RVUs from the relative value file, multiplied by payment locality 02102-01's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q4 2026 release. Past releases are never edited, so an amount for an earlier quarter always matches what CMS published for it. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q4 2026) · rvu26d-updated-08-26-2026.zip (PPRRVU2026_Oct_nonQPP.csv row 15,231)
Geographic practice cost indices (Q4 2026) · rvu26d-updated-08-26-2026.zip (GPCI2026.csv row 5)
ZIP code to carrier locality crosswalk (Q4 2026) · zip-code-carrier-locality-file-updated-08-13-2026.zip (ZIP5_OCT2026.txt)

Working a claim with an earlier date of service? The calculator prices G0402 in Anchorage, AK against the release in effect on that date. Dates of service this quarter don't need an account; earlier dates need a free account.

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