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Fee-for-service rateAs of September 2026

Michigan Medicaid rate for CPT 12001

Michigan Medicaid pays $72.63 for CPT 12001 in its September 2026 fee-for-service schedule: the 15th-lowest of 45 state Medicaid programs, at 84% of the $86.45 median.

Non-facility rate
$72.63
Rank
31 of 45
vs. state median
84%
vs. MI Medicare
63-67%

What Michigan Medicaid publishes for 12001

15th-lowest of 45 · 84% of median

15th-lowest of 45 · 84% of median

Schedule
September 2026

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. MDHHS Practitioner Fee Schedule

12001 in neighboring states

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

StateRatevs. Michigan
Indiana$83.96+16%
Ohio$70.72-3%
Wisconsin$48.80-33%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Michigan is $107.67 to $115.20 across its 2 payment localities; Michigan Medicaid's rate is 63-67% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Michigan's full schedule: all 9,255 codes, every published period, and commercial payer rates for 12001.

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Other Michigan Medicaid rates