Idaho Medicaid rate for CPT 12001
Idaho Medicaid pays $90.11 for CPT 12001 in its October 2026 fee-for-service schedule: the 20th-highest of 45 state Medicaid programs, at 104% of the $86.45 median.
- Non-facility rate
- $90.11
- Rank
- 20 of 45
- vs. state median
- 104%
- vs. ID Medicare
- 86%
What Idaho Medicaid publishes for 12001
20th-highest of 45 · 104% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
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. Idaho Medicaid Fee Schedule
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
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 Idaho is $104.29; Idaho Medicaid's rate is 86% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 12001.
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