localis

Describe a service in plain words, or type a CPT/HCPCS code.

Medicare fee schedule by locality · Q3 2026 release

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South Dakota Medicare fee schedule localities

South Dakota is a single Medicare payment locality—the whole state shares the same GPCIs. National amounts use GPCI 1.000. Each row below shows what a nationally priced common code pays once each locality's GPCIs apply.

Localities in South Dakota Copy link

99213 office (non-facility) amount by locality, Q3 2026 standard non-QP conversion factor (before sequestration)—national baseline $95.19.

Locality Work GPCI PE GPCI MP GPCI 99213 amount
South Dakota 1.000 1.000 0.336 $93.20 (-2.1% decrease )

Need a different code or the facility rate? Use the rate calculator with any locality above selected.

Common questions Copy link

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

Source & method Copy link

GPCIs and example rates computed from the CMS Medicare Physician Fee Schedule Q3 2026 release . Example amounts apply each locality's GPCIs to nationally priced non-facility RVUs, before the ~2% sequestration cut. Releases are immutable: a rate retrieved for a past quarter always reflects that release.

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