Indiana Medicaid rate for CPT 12001
Indiana Health Coverage Programs pays $83.96 for CPT 12001 in its September 2026 fee-for-service schedule: the 21st-lowest of 45 state Medicaid programs, at 97% of the $86.45 median.
- Non-facility rate
- $83.96
- Rank
- 25 of 45
- vs. state median
- 97%
- vs. IN Medicare
- 80%
What Indiana Health Coverage Programs publishes for 12001
21st-lowest of 45 · 97% of median
- Schedule
- September 2026
- In effect since
- Jan 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. IHCP Fee Schedules
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 Indiana is $104.93; Indiana Health Coverage Programs's rate is 80% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 12001.
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