ADDENDUM E. PROPOSED CY 2021 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY						
						
Carrier	State	Locality Number	Locality Name	2021 PW GPCI 	2021 PE GPCI	2021 MP GPCI
10112	AL	00	ALABAMA	0.969	0.888	0.921
02102	AK	01	ALASKA*	1.500	1.118	0.614
03102	AZ	00	ARIZONA	0.982	0.951	0.857
07102	AR	13	ARKANSAS	0.953	0.847	0.465
01112	CA	54	BAKERSFIELD	1.035	1.065	0.704
01112	CA	55	CHICO	1.027	1.065	0.597
01182	CA	71	EL CENTRO	1.027	1.065	0.616
01112	CA	56	FRESNO	1.027	1.065	0.597
01112	CA	57	HANFORD-CORCORAN	1.027	1.065	0.597
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	1.048	1.175	0.757
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	1.048	1.175	0.757
01112	CA	58	MADERA	1.027	1.065	0.597
01112	CA	59	MERCED	1.027	1.065	0.597
01112	CA	60	MODESTO	1.027	1.065	0.597
01112	CA	51	NAPA	1.044	1.220	0.504
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	1.077	1.329	0.458
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	1.027	1.179	0.726
01112	CA	61	REDDING	1.027	1.065	0.597
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	1.027	1.065	0.896
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	1.036	1.079	0.597
01112	CA	64	SALINAS	1.058	1.122	0.597
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	1.035	1.145	0.616
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	1.077	1.329	0.458
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	1.071	1.311	0.504
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	1.084	1.330	0.597
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	1.027	1.085	0.597
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	1.077	1.329	0.458
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	1.096	1.383	0.414
01112	CA	66	SANTA CRUZ-WATSONVILLE	1.042	1.181	0.597
01182	CA	74	SANTA MARIA-SANTA BARBARA	1.038	1.157	0.597
01112	CA	67	SANTA ROSA-PETALUMA	1.042	1.159	0.597
01112	CA	68	STOCKTON	1.027	1.065	0.597
01112	CA	53	VALLEJO	1.044	1.220	0.504
01112	CA	69	VISALIA	1.027	1.065	0.597
01112	CA	70	YUBA CITY	1.027	1.065	0.597
01112	CA	75	REST OF CALIFORNIA	1.027	1.065	0.597
04112	CO	01	COLORADO	1.001	1.047	0.767
13102	CT	00	CONNECTICUT	1.037	1.114	0.934
12202	DC	01	DC + MD/VA SUBURBS	1.054	1.236	1.294
12102	DE	01	DELAWARE	1.005	1.022	0.927
09102	FL	03	FORT LAUDERDALE	0.979	1.001	1.860
09102	FL	04	MIAMI	0.985	1.023	2.629
09102	FL	99	REST OF FLORIDA	0.970	0.939	1.435
10212	GA	01	ATLANTA	1.000	0.998	0.904
10212	GA	99	REST OF GEORGIA	0.975	0.878	0.904
01212	HI	01	"HAWAII, GUAM"	1.010	1.143	0.675
02202	ID	00	IDAHO	0.954	0.877	0.416
06102	IL	16	CHICAGO	1.011	1.044	1.871
06102	IL	12	EAST ST. LOUIS	0.986	0.942	1.661
06102	IL	15	SUBURBAN CHICAGO	1.006	1.062	1.504
06102	IL	99	REST OF ILLINOIS	0.975	0.912	1.182
08102	IN	00	INDIANA	0.964	0.900	0.465
05102	IA	00	IOWA	0.968	0.907	0.425
05202	KS	00	KANSAS	0.963	0.908	0.458
15102	KY	00	KENTUCKY	0.970	0.869	0.827
07202	LA	01	NEW ORLEANS	0.978	0.927	1.528
07202	LA	99	REST OF LOUISIANA	0.963	0.872	1.307
14112	ME	03	SOUTHERN MAINE	0.991	0.997	0.652
14112	ME	99	REST OF MAINE	0.963	0.898	0.652
12302	MD	01	BALTIMORE/SURR. CNTYS	1.028	1.096	1.313
12302	MD	99	REST OF MARYLAND	1.011	1.037	1.070
14212	MA	01	METROPOLITAN BOSTON	1.049	1.203	0.842
14212	MA	99	REST OF MASSACHUSETTS	1.026	1.061	0.842
08202	MI	01	DETROIT	0.989	0.997	1.622
08202	MI	99	REST OF MICHIGAN	0.971	0.911	0.979
06202	MN	00	MINNESOTA	0.999	1.013	0.353
07302	MS	00	MISSISSIPPI	0.956	0.842	0.671
05302	MO	02	METROPOLITAN KANSAS CITY	0.981	0.955	0.890
05302	MO	01	METROPOLITAN ST. LOUIS	0.988	0.976	0.889
05302	MO	99	REST OF MISSOURI	0.955	0.852	0.828
03202	MT	01	MONTANA**	0.949	1.000	0.977
05402	NE	00	NEBRASKA	0.971	0.908	0.235
01312	NV	00	NEVADA**	1.005	1.000	1.351
14312	NH	40	NEW HAMPSHIRE	0.998	1.038	0.917
12402	NJ	01	NORTHERN NJ	1.049	1.199	0.959
12402	NJ	99	REST OF NEW JERSEY	1.037	1.141	0.959
04212	NM	05	NEW MEXICO	0.980	0.896	1.166
13202	NY	01	MANHATTAN	1.056	1.203	2.031
13202	NY	02	NYC SUBURBS/LONG ISLAND	1.046	1.223	2.702
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	1.027	1.105	1.646
13292	NY	04	QUEENS	1.056	1.228	2.661
13282	NY	99	REST OF NEW YORK	0.991	0.955	0.752
11502	NC	00	NORTH CAROLINA	0.977	0.928	0.819
03302	ND	01	NORTH DAKOTA**	0.970	1.000	0.431
15202	OH	00	OHIO	0.983	0.913	1.094
04312	OK	00	OKLAHOMA	0.958	0.881	0.782
02302	OR	01	PORTLAND	1.022	1.063	0.535
02302	OR	99	REST OF OREGON	0.985	0.947	0.535
12502	PA	01	METROPOLITAN PHILADELPHIA	1.022	1.083	1.199
12502	PA	99	REST OF PENNSYLVANIA	0.986	0.939	0.888
09202	PR	20	PUERTO RICO	0.998	1.008	0.986
14412	RI	01	RHODE ISLAND	1.021	1.048	0.981
11202	SC	01	SOUTH CAROLINA	0.970	0.903	0.695
03402	SD	02	SOUTH DAKOTA**	0.951	1.000	0.347
10312	TN	35	TENNESSEE	0.972	0.892	0.492
04412	TX	31	AUSTIN	1.000	1.059	0.539
04412	TX	20	BEAUMONT	0.988	0.944	0.550
04412	TX	09	BRAZORIA	1.032	1.023	0.550
04412	TX	11	DALLAS	1.023	1.026	0.546
04412	TX	28	FORT WORTH	1.016	0.995	0.539
04412	TX	15	GALVESTON	1.032	1.026	0.550
04412	TX	18	HOUSTON	1.032	1.029	0.900
04412	TX	99	REST OF TEXAS	0.991	0.955	0.584
03502	UT	09	UTAH	0.971	0.919	0.799
14512	VT	50	VERMONT	0.983	1.001	0.569
11302	VA	00	VIRGINIA	0.999	0.995	0.897
09202	VI	50	VIRGIN ISLANDS	0.998	1.008	0.986
02402	WA	02	SEATTLE (KING CNTY)	1.036	1.194	0.776
02402	WA	99	REST OF WASHINGTON	0.999	1.014	0.744
11402	WV	16	WEST VIRGINIA	0.961	0.858	1.198
06302	WI	00	WISCONSIN	0.980	0.942	0.296
03602	WY	21	WYOMING**	0.970	1.000	0.841
"MAC Assignments as of June 1, 2020"						
						
*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.						
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.						
						
"Note:   The 1.0 work GPCI floor required by Section 3801 of The Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020 [March 27, 2020] extended the work GPCI floor through November 30, 2020 only, therefore the Work GPCIs for CY 2021 do not reflect a 1.0 floor."						
						
"Note:  Beginning in CY 2021, the locality names in California are updated to reflect the revised delineations of Metropolitan Statistical Areas as indicated in OMB Bulletin No. 20-01 (March 6, 2020)."						
            A detailed discussion of the requirement to use MSAs for the fee schedule areas in California can be found in the CY 2017 PFS Final Rule (81 FR 80265).						
