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Fee-for-service rateAs of July 2026

Colorado Medicaid rate for CPT 12001

Health First Colorado pays $37.67 for CPT 12001 in its July 2026 fee-for-service schedule: the 4th-lowest of 45 state Medicaid programs, at 44% of the $86.45 median.

Non-facility rate
$37.67
Rank
42 of 45
vs. state median
44%
vs. CO Medicare
32%

What Health First Colorado publishes for 12001

4th-lowest of 45 · 44% of median

4th-lowest of 45 · 44% of median

Schedule
July 2026
In effect since
Jul 1, 2026
Prior authorization
Not published

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. HCPF Provider Rates & Fee Schedule

12001 in neighboring states

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

StateRatevs. Colorado
Arizona$92.82+146%
Kansas$86.45+129%
Nebraska$96.32+156%
New Mexico$132.53+252%
Oklahoma$97.32+158%
Utah$90.25+140%
Wyoming$80.89+115%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Colorado is $118.06; Health First Colorado's rate is 32% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Colorado's full schedule: all 10,098 codes, every published period, and commercial payer rates for 12001.

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Other Health First Colorado rates