Louisiana Medicaid rate for CPT 12001
Louisiana Medicaid pays a median of $96.98 across its rate types for CPT 12001 in its July 2026 fee-for-service schedule: the 13th-highest of 45 state Medicaid programs, at 112% of the $86.45 median.
- Non-facility rate
- $96.98
- Rank
- 13 of 45
- vs. state median
- 112%
- vs. LA Medicare
- 88-93%
What Louisiana Medicaid publishes for 12001
13th-highest of 45 · 112% of median
- Schedule
- July 2026
- In effect since
- Feb 1, 2013
- Prior authorization
- Not required
$88.16 to $105.79 across 2 rate types
- Pediatric · Under 16
- $105.79
- Full Service
- $88.16
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. Louisiana Medicaid Fee Schedules
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Louisiana |
|---|---|---|
| Arkansas | $51.93 | -46% |
| Mississippi | $91.29 | -6% |
| Texas | $77.81 | -20% |
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 Louisiana is $104.39 to $109.97 across its 2 payment localities; Louisiana Medicaid's rate is 88-93% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Louisiana's full schedule: all 6,901 codes, every published period, and commercial payer rates for 12001.
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