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Fee-for-service rateAs of June 2026

Hawaii Medicaid rate for CPT 12001

Med-QUEST pays $42.71 for CPT 12001 in its June 2026 fee-for-service schedule: the 5th-lowest of 45 state Medicaid programs, at 49% of the $86.45 median.

Non-facility rate
$42.71
Rank
41 of 45
vs. state median
49%
vs. HI Medicare
35%

What Med-QUEST publishes for 12001

5th-lowest of 45 · 49% of median

5th-lowest of 45 · 49% of median

Schedule
June 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. Med-QUEST Fee Schedules

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Hawaii is $122.39; Med-QUEST's rate is 35% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Hawaii's full schedule: all 11,587 codes, every published period, and commercial payer rates for 12001.

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Other Med-QUEST rates