On this page

CMS RVU26D · Effective 2026-10-01

A2045 in Delaware

Office / nonfacility

$125.73

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound care supply

About A2045: Novashield or Novogen wound product

Reports the Novashield/Novogen wound product by square centimeter when applied during a qualifying wound procedure.

A2045 identifies Novashield/Novogen product used in wound treatment, measured in square centimeters. It represents the material, not the clinician’s wound preparation or application work. Wound care physicians, surgeons, podiatrists, and other practitioners treating acute or chronic wounds may use it in office or facility settings. The product name and surface area distinguish this supply from other wound matrices.

Report A2045 as an add-on only with the primary procedure for the same treatment, and count the product in square centimeters. Documentation should identify the product, wound site and size, and amount used. CMS places payment within the primary procedure’s global period. A2045 is technical-component-only; a separate code covers interpretation. The area of product used does not replace the site and size criteria for selecting the primary procedure.

CMS billing rules for A2045

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Technical-component-only code: a separate code covers interpretation.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU3.81 · 100%
  • Malpractice RVU0.00 · 0%

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

A2045 compared with similar codes

Office rates for Delaware, from the same CMS release.

A2046

Wound matrix

Dermisphere, per square centimeter

$125.73

A2046 identifies Dermisphere HDRT, not Novashield/Novogen. Choose the product-specific code matching the material used; the shared per-square-centimeter unit does not make the codes interchangeable.

A2047

Wound matrix

LacertaMatrix, per square centimeter

$125.73

A2047 identifies Lacertamatrix. A2045 is specific to Novashield/Novogen, so select based on the product documented for the wound treatment.

A2049

TheraCor

Per square centimeter

$125.73

A2049 identifies Theracor rather than Novashield/Novogen. Both are measured per square centimeter, but the reported code follows the product used.

The same code, a different location

How does Delaware compare?

A2045 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $125.73

  2. $24.82 higher than Delaware

  3. $24.18 higher than Delaware

  4. Miami

    $132.47

    $6.74 higher than Delaware

  5. Chicago

    $127.89

    $2.16 higher than Delaware

  6. Manhattan

    $147.87

    $22.14 higher than Delaware

  7. Alaska*

    $135.53

    $9.80 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, A2045 ranges from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Alabama

    Alabama · A2045

    Office

    $111.35

    Facility

    Unavailable

    $14.38 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · A2045

    Office

    $109.31

    Facility

    Unavailable

    $16.42 lower than Delaware for the office setting.

  • Arizona

    Arizona · A2045

    Office

    $123.31

    Facility

    Unavailable

    $2.42 lower than Delaware for the office setting.

  • Bakersfield

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Chico

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • El Centro

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Fresno

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Madera

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Merced

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Modesto

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Napa

    California · A2045

    Office

    $167.73

    Facility

    Unavailable

    $42.00 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · A2045

    Office

    $150.42

    Facility

    Unavailable

    $24.69 higher than Delaware for the office setting.

  • Redding

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Rest Of California

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · A2045

    Office

    $148.00

    Facility

    Unavailable

    $22.27 higher than Delaware for the office setting.

  • Salinas

    California · A2045

    Office

    $147.49

    Facility

    Unavailable

    $21.76 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · A2045

    Office

    $152.20

    Facility

    Unavailable

    $26.47 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · A2045

    Office

    $179.43

    Facility

    Unavailable

    $53.70 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · A2045

    Office

    $179.43

    Facility

    Unavailable

    $53.70 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · A2045

    Office

    $183.51

    Facility

    Unavailable

    $57.78 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · A2045

    Office

    $183.51

    Facility

    Unavailable

    $57.78 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · A2045

    Office

    $144.95

    Facility

    Unavailable

    $19.22 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · A2045

    Office

    $154.62

    Facility

    Unavailable

    $28.89 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · A2045

    Office

    $148.38

    Facility

    Unavailable

    $22.65 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · A2045

    Office

    $156.27

    Facility

    Unavailable

    $30.54 higher than Delaware for the office setting.

  • Stockton

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Vallejo

    California · A2045

    Office

    $167.73

    Facility

    Unavailable

    $42.00 higher than Delaware for the office setting.

  • Visalia

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Yuba City

    California · A2045

    Office

    $139.47

    Facility

    Unavailable

    $13.74 higher than Delaware for the office setting.

  • Colorado

    Colorado · A2045

    Office

    $135.40

    Facility

    Unavailable

    $9.67 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · A2045

    Office

    $137.06

    Facility

    Unavailable

    $11.33 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · A2045

    Office

    $128.91

    Facility

    Unavailable

    $3.18 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · A2045

    Office

    $121.66

    Facility

    Unavailable

    $4.07 lower than Delaware for the office setting.

  • Atlanta

    Georgia · A2045

    Office

    $129.29

    Facility

    Unavailable

    $3.56 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · A2045

    Office

    $113.51

    Facility

    Unavailable

    $12.22 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · A2045

    Office

    $144.69

    Facility

    Unavailable

    $18.96 higher than Delaware for the office setting.

  • Iowa

    Iowa · A2045

    Office

    $116.44

    Facility

    Unavailable

    $9.29 lower than Delaware for the office setting.

  • Idaho

    Idaho · A2045

    Office

    $117.08

    Facility

    Unavailable

    $8.65 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · A2045

    Office

    $117.08

    Facility

    Unavailable

    $8.65 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · A2045

    Office

    $116.19

    Facility

    Unavailable

    $9.54 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · A2045

    Office

    $130.69

    Facility

    Unavailable

    $4.96 higher than Delaware for the office setting.

  • Indiana

    Indiana · A2045

    Office

    $117.97

    Facility

    Unavailable

    $7.76 lower than Delaware for the office setting.

  • Kansas

    Kansas · A2045

    Office

    $115.04

    Facility

    Unavailable

    $10.69 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · A2045

    Office

    $113.13

    Facility

    Unavailable

    $12.60 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · A2045

    Office

    $119.75

    Facility

    Unavailable

    $5.98 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · A2045

    Office

    $112.62

    Facility

    Unavailable

    $13.11 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · A2045

    Office

    $151.95

    Facility

    Unavailable

    $26.22 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · A2045

    Office

    $134.00

    Facility

    Unavailable

    $8.27 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · A2045

    Office

    $136.55

    Facility

    Unavailable

    $10.82 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · A2045

    Office

    $128.78

    Facility

    Unavailable

    $3.05 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · A2045

    Office

    $117.08

    Facility

    Unavailable

    $8.65 lower than Delaware for the office setting.

  • Southern Maine

    Maine · A2045

    Office

    $126.11

    Facility

    Unavailable

    $0.38 higher than Delaware for the office setting.

  • Detroit

    Michigan · A2045

    Office

    $122.80

    Facility

    Unavailable

    $2.93 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · A2045

    Office

    $116.19

    Facility

    Unavailable

    $9.54 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · A2045

    Office

    $130.95

    Facility

    Unavailable

    $5.22 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · A2045

    Office

    $119.49

    Facility

    Unavailable

    $6.24 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · A2045

    Office

    $121.15

    Facility

    Unavailable

    $4.58 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · A2045

    Office

    $109.70

    Facility

    Unavailable

    $16.03 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · A2045

    Office

    $109.57

    Facility

    Unavailable

    $16.16 lower than Delaware for the office setting.

  • Montana**

    Montana · A2045

    Office

    $127.26

    Facility

    Unavailable

    $1.53 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · A2045

    Office

    $118.73

    Facility

    Unavailable

    $7.00 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · A2045

    Office

    $127.26

    Facility

    Unavailable

    $1.53 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · A2045

    Office

    $117.46

    Facility

    Unavailable

    $8.27 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · A2045

    Office

    $132.47

    Facility

    Unavailable

    $6.74 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · A2045

    Office

    $147.62

    Facility

    Unavailable

    $21.89 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · A2045

    Office

    $138.97

    Facility

    Unavailable

    $13.24 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · A2045

    Office

    $116.70

    Facility

    Unavailable

    $9.03 lower than Delaware for the office setting.

  • Nevada**

    Nevada · A2045

    Office

    $127.38

    Facility

    Unavailable

    $1.65 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · A2045

    Office

    $151.31

    Facility

    Unavailable

    $25.58 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · A2045

    Office

    $139.35

    Facility

    Unavailable

    $13.62 higher than Delaware for the office setting.

  • Queens

    New York · A2045

    Office

    $150.42

    Facility

    Unavailable

    $24.69 higher than Delaware for the office setting.

  • Rest Of New York

    New York · A2045

    Office

    $120.89

    Facility

    Unavailable

    $4.84 lower than Delaware for the office setting.

  • Ohio

    Ohio · A2045

    Office

    $116.19

    Facility

    Unavailable

    $9.54 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · A2045

    Office

    $113.64

    Facility

    Unavailable

    $12.09 lower than Delaware for the office setting.

  • Portland

    Oregon · A2045

    Office

    $141.38

    Facility

    Unavailable

    $15.65 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · A2045

    Office

    $126.75

    Facility

    Unavailable

    $1.02 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · A2045

    Office

    $132.47

    Facility

    Unavailable

    $6.74 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · A2045

    Office

    $116.82

    Facility

    Unavailable

    $8.91 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · A2045

    Office

    $128.66

    Facility

    Unavailable

    $2.93 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · A2045

    Office

    $131.46

    Facility

    Unavailable

    $5.73 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · A2045

    Office

    $117.59

    Facility

    Unavailable

    $8.14 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · A2045

    Office

    $127.26

    Facility

    Unavailable

    $1.53 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · A2045

    Office

    $115.68

    Facility

    Unavailable

    $10.05 lower than Delaware for the office setting.

  • Austin

    Texas · A2045

    Office

    $134.64

    Facility

    Unavailable

    $8.91 higher than Delaware for the office setting.

  • Beaumont

    Texas · A2045

    Office

    $115.80

    Facility

    Unavailable

    $9.93 lower than Delaware for the office setting.

  • Brazoria

    Texas · A2045

    Office

    $126.11

    Facility

    Unavailable

    $0.38 higher than Delaware for the office setting.

  • Dallas

    Texas · A2045

    Office

    $126.75

    Facility

    Unavailable

    $1.02 higher than Delaware for the office setting.

  • Fort Worth

    Texas · A2045

    Office

    $125.48

    Facility

    Unavailable

    $0.25 lower than Delaware for the office setting.

  • Galveston

    Texas · A2045

    Office

    $126.37

    Facility

    Unavailable

    $0.64 higher than Delaware for the office setting.

  • Houston

    Texas · A2045

    Office

    $126.37

    Facility

    Unavailable

    $0.64 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · A2045

    Office

    $120.77

    Facility

    Unavailable

    $4.96 lower than Delaware for the office setting.

  • Utah

    Utah · A2045

    Office

    $119.62

    Facility

    Unavailable

    $6.11 lower than Delaware for the office setting.

  • Virginia

    Virginia · A2045

    Office

    $125.09

    Facility

    Unavailable

    $0.64 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · A2045

    Office

    $128.66

    Facility

    Unavailable

    $2.93 higher than Delaware for the office setting.

  • Vermont

    Vermont · A2045

    Office

    $125.98

    Facility

    Unavailable

    $0.25 higher than Delaware for the office setting.

  • Rest Of Washington

    Washington · A2045

    Office

    $134.00

    Facility

    Unavailable

    $8.27 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · A2045

    Office

    $156.14

    Facility

    Unavailable

    $30.41 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · A2045

    Office

    $121.91

    Facility

    Unavailable

    $3.82 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · A2045

    Office

    $110.59

    Facility

    Unavailable

    $15.14 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · A2045

    Office

    $127.26

    Facility

    Unavailable

    $1.53 higher than Delaware for the office setting.

See how rates vary across the country

A2045 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

Explore A2045 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for A2045 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$138.30

$125.73 × 110% = $138.30

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for A2045 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

13,266

Code
A2045
Physician work
0.00
Practice expense
3.81
Malpractice
0.00

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for A2045 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0050.0000
Practice expense3.81× 0.9883.7643
Malpractice0.00× 0.8990.0000
Total RVUs3.7643
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$125.73

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open A2045 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.005
Practice expense3.810.988
Malpractice00.899

(0 × 1.005 + 3.81 × 0.988 + 0 × 0.899) × $33.4009 = $125.73

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

A2045 · Office / nonfacility

$125.73

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. April 1, 2026

    RVU26B

    No ratechanged to$125.73

    Held through RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D, RVU26A.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$125.73Not available in this settingRVU26D
2026-07-01$125.73Not available in this settingRVU26C
2026-04-01$125.73Not available in this settingRVU26B
2026-01-01Not in this releaseNot in this releaseRVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

A2045 billing questions

What procedure should A2045 be paired with?

Report it only with the primary wound procedure for the same treatment. For skin-substitute application, the primary code is selected according to the treated site and area.

How should the units be counted?

A2045 is measured per square centimeter. Document the amount of Novashield/Novogen product used rather than substituting the wound’s total area for the quantity applied.

Does A2045 include the product application work?

No. A2045 identifies the product; the primary procedure represents the wound treatment or application service.

Is interpretation included in A2045?

No. CMS classifies A2045 as technical-component-only, with interpretation covered by a separate code.

What documentation supports reporting A2045?

Record the Novashield/Novogen product, wound location and size, quantity used in square centimeters, and the associated primary procedure.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for A2045PPRRVU2026_Oct_nonQPP.csv, line 13,266 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)