Quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB) and QPP fee schedule - October 2026 update
Effective October 1, the 2026 Medicare Physician Fee Schedule (MPFS) will reflect updated pricing for codes A2046, A2047, A2049, Q4207, Q4223, A4243.
The table below reflects these new amounts.
| State | Locality | Participating fee | Non-participating fee | Limiting charge |
|---|---|---|---|---|
| Florida | 03 | $128.91 | $122.46 | $140.83 |
| Florida | 04 | $132.47 | $125.85 | $144.73 |
| Florida | 99 | $121.66 | $115.58 | $132.92 |
| Puerto Rico | 20 | $128.66 | $122.23 | $140.56 |
| U.S. Virgin Islands | 50 | $128.66 | $122.23 | $140.56 |
The below table reflects these new amounts for the Quality Payment Program (QPP):
| State | Locality | Participating fee | Non-participating fee | Limiting charge |
|---|---|---|---|---|
| Florida | 03 | $129.55 | $123.07 | $141.53 |
| Florida | 04 | $133.14 | $126.48 | $145.45 |
| Florida | 99 | $122.26 | $116.15 | $133.57 |
| Puerto Rico | 20 | $129.30 | $122.84 | $141.27 |
| U.S. Virgin Islands | 50 | $129.30 | $122.84 | $141.27 |