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Fee-for-service rateAs of October 2026

Arizona Medicaid rate for CPT 12001

AHCCCS pays a median of $92.82 across its rate types for CPT 12001 in its October 2026 fee-for-service schedule: the 16th-highest of 45 state Medicaid programs, at 107% of the $86.45 median.

Non-facility rate
$92.82
Rank
16 of 45
vs. state median
107%
vs. AZ Medicare
84%

What AHCCCS publishes for 12001

16th-highest of 45 · 107% of median

16th-highest of 45 · 107% of median

Schedule
October 2026
In effect since
Oct 1, 2024
$69.34 to $103.13 across 7 rate types
Provider type 08
$103.13
Provider type 31
$103.13
General
$99.06
Provider type 18
$92.82
Provider type 19
$92.82
Provider type CN
$89.15
Provider type 82
$69.34

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. AHCCCS Physician Rates

12001 in neighboring states

Each state's comparable non-facility rate for 12001 in its current schedule.

StateRatevs. Arizona
Colorado$37.67-59%
New Mexico$132.53+43%
Nevada$47.25-49%
Utah$90.25-3%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Arizona is $110.54; AHCCCS's rate is 84% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Arizona's full schedule: all 7,610 codes, every published period, and commercial payer rates for 12001.

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Other AHCCCS rates