Connecticut Medicaid rate for CPT 12001
Connecticut Medical Assistance Program pays $76.33 for CPT 12001 in its October 2026 fee-for-service schedule: the 17th-lowest of 45 state Medicaid programs, at 88% of the $86.45 median.
- Non-facility rate
- $76.33
- Rank
- 29 of 45
- vs. state median
- 88%
- vs. CT Medicare
- 63%
What Connecticut Medical Assistance Program publishes for 12001
17th-lowest of 45 · 88% of median
- Schedule
- October 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
1 rate type
- Surgery · Rate type FTS
- Facility $35.89
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. CMAP Provider Fee Schedule Download
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Connecticut |
|---|---|---|
| Massachusetts | $72.71 | -5% |
| Rhode Island | $25.20 | -67% |
12001 in every state
Map and ranking of every state program that prices 12001.
Compare 12001 across states12001 under Medicare
Medicare's 2026 non-facility payment for 12001 in Connecticut is $121.91; Connecticut Medical Assistance Program's rate is 63% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 12001.
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