Medicare fee schedule by locality · Q3 2026 release
Virginia
Virginia is a single Medicare payment locality — the whole state shares the same GPCIs. National amounts use GPCI 1.000. Every row below shows what a common code pays once each locality's real GPCIs apply.
Localities in Virginia
99213 non-facility amount by locality, Q3 2026 (before sequestration) — national baseline $95.19.
| Locality | Work GPCI | PE GPCI | MP GPCI | 99213 amount |
|---|---|---|---|---|
| Virginia | 1.000 | 0.983 | 0.706 | $93.48 (-1.8%) |
Need a different code or the facility rate? Use the rate calculator with any locality above selected.
Common questions
How many Medicare payment localities are in Virginia?
Virginia has one Medicare payment locality — the whole state shares the same GPCIs.
Do Medicare rates vary within Virginia?
No — Virginia is a single locality, so the same GPCIs and rates apply statewide.
Source & method
GPCIs and example rates computed from the CMS Medicare Physician Fee Schedule Q3 2026 release. Example amounts take the national non-facility figures and rescale them by each locality's GPCIs, before the ~2% sequestration cut. Releases are immutable: a rate retrieved for a past quarter always reflects that release.
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