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Medicare fee schedule by locality · Q4 2026 release

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Delaware Medicare fee schedule localities

Delaware is a single Medicare payment locality—the whole state shares the same GPCIs. National amounts use GPCI 1.000.

Locality in Delaware Copy link

Office (non-facility) amount for 99213, used as an example code, applying each locality's GPCIs with the Q4 2026 standard non-QP conversion factor (before sequestration), and its difference from the national baseline of $95.19.

Locality 99213 amount
Delaware $94.52 -0.7%

Need another code or the facility amount? Use the rate calculator and choose a locality from the list above.

Common questions Copy link

How many Medicare payment localities are in Delaware?
Delaware has one Medicare payment locality—the whole state shares the same GPCIs.
Do Medicare rates vary within Delaware?
No—Delaware is a single locality, so the same GPCIs and rates apply statewide.

Source & method Copy link

We compute GPCIs and example rates from the CMS Medicare Physician Fee Schedule Q4 2026 release. Example amounts apply each locality's GPCIs to nationally priced Office (non-facility) RVUs, before the ~2% sequestration cut. Past releases are never edited, so a rate for an earlier quarter always matches what CMS published for it.

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