Medicare fee schedule by locality · Q3 2026 release
West Virginia Medicare fee schedule localities
West Virginia 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 West Virginia 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 |
|---|---|---|---|---|
| West Virginia | 1.000 | 0.869 | 1.431 | $90.10 (-5.3% 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 West Virginia?
Do Medicare rates vary within West Virginia?
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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