Maryland Medicaid rate for CPT 12001
Maryland Medicaid pays $88.44 for CPT 12001 in its September 2026 fee-for-service schedule: the 21st-highest of 45 state Medicaid programs, at 102% of the $86.45 median.
- Non-facility rate
- $88.44
- Rank
- 21 of 45
- vs. state median
- 102%
- vs. MD Medicare
- 68-77%
What Maryland Medicaid publishes for 12001
21st-highest of 45 · 102% of median
- Schedule
- September 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. MDH Professional Services Fee Schedule
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Maryland |
|---|---|---|
| Delaware | $110.53 | +25% |
| Pennsylvania | $24.50 | -72% |
| Virginia | $98.67 | +12% |
| West Virginia | $76.86 | -13% |
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 Maryland is $114.64 to $130.38 across its 3 payment localities; Maryland Medicaid's rate is 68-77% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Maryland's full schedule: all 8,533 codes, every published period, and commercial payer rates for 12001.
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