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Fee-for-service rateAs of September 2026

Iowa Medicaid rate for CPT 12001

Iowa Medicaid pays a median of $104.20 across its rate types for CPT 12001 in its September 2026 fee-for-service schedule: the 9th-highest of 45 state Medicaid programs, at 121% of the $86.45 median.

Non-facility rate
$104.20
Rank
9 of 45
vs. state median
121%
vs. IA Medicare
101%

What Iowa Medicaid publishes for 12001

9th-highest of 45 · 121% of median

9th-highest of 45 · 121% of median

Schedule
September 2026
In effect since
Jul 1, 2024
$93.25 to $109.70 across 5 rate types
General
$109.70
Provider type 03
$109.70
Provider type 38
$104.20
Provider type 68
$95.24
Provider type 50
$93.25

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. Iowa HHS Fee Schedules

12001 in neighboring states

Each state's comparable non-facility rate for 12001 in its current schedule.

StateRatevs. Iowa
Illinois$44.89-57%
Minnesota$86.19-17%
Missouri$86.94-17%
Nebraska$96.32-8%
South Dakota$106.06+2%
Wisconsin$48.80-53%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Iowa is $103.43; Iowa Medicaid's rate is 101% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Iowa's full schedule: all 10,139 codes, every published period, and commercial payer rates for 12001.

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Other Iowa Medicaid rates