Kentucky Medicaid rate for CPT 12001
Kentucky Medicaid pays $64.92 for CPT 12001 in its January 2026 fee-for-service schedule: the 11th-lowest of 45 state Medicaid programs, at 75% of the $86.45 median.
- Non-facility rate
- $64.92
- Rank
- 35 of 45
- vs. state median
- 75%
- vs. KY Medicare
- 62%
What Kentucky Medicaid publishes for 12001
11th-lowest of 45 · 75% of median
- Schedule
- January 2026
- Prior authorization
- Not published
1 rate type
- Standard rate
- Facility $64.92
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. DMS Fees & Rates
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 Kentucky is $104.45; Kentucky Medicaid's rate is 62% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 12001.
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