Illinois Medicaid rate for CPT 12001
Illinois Medicaid pays $44.89 for CPT 12001 in its July 2026 fee-for-service schedule: the 6th-lowest of 45 state Medicaid programs, at 52% of the $86.45 median.
- Non-facility rate
- $44.89
- Rank
- 40 of 45
- vs. state median
- 52%
- vs. IL Medicare
- 37-41%
What Illinois Medicaid publishes for 12001
6th-lowest of 45 · 52% of median
- Schedule
- July 2026
- In effect since
- Apr 1, 2024
- 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. HFS Practitioner 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 Illinois is $110.28 to $122.28 across its 4 payment localities; Illinois Medicaid's rate is 37-41% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 12001.
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