Delaware Medicaid rate for CPT 12001
Delaware Medical Assistance Program pays $110.53 for CPT 12001 in its January 2026 fee-for-service schedule: the 6th-highest of 45 state Medicaid programs, at 128% of the $86.45 median.
- Non-facility rate
- $110.53
- Rank
- 6 of 45
- vs. state median
- 128%
- vs. DE Medicare
- 98%
What Delaware Medical Assistance Program publishes for 12001
6th-highest of 45 · 128% of median
- Schedule
- January 2026
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. DMAP Practitioner Fee Schedule
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Delaware |
|---|---|---|
| Maryland | $88.44 | -20% |
| New Jersey | $69.05 | -38% |
| Pennsylvania | $24.50 | -78% |
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 Delaware is $112.46; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 12001.
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