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Fee-for-service rateAs of September 2026

Minnesota Medicaid rate for CPT 12001

Minnesota Health Care Programs pays $86.19 for CPT 12001 in its September 2026 fee-for-service schedule: the 22nd-lowest of 45 state Medicaid programs, at 100% of the $86.45 median.

Non-facility rate
$86.19
Rank
24 of 45
vs. state median
100%
vs. MN Medicare
77%

What Minnesota Health Care Programs publishes for 12001

22nd-lowest of 45 · 100% of median

22nd-lowest of 45 · 100% of median

Schedule
September 2026
In effect since
Feb 1, 2026
Prior authorization
Not published

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. MHCP Fee Schedule

12001 in neighboring states

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

StateRatevs. Minnesota
Iowa$104.20+21%
North Dakota$123.91+44%
South Dakota$106.06+23%
Wisconsin$48.80-43%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Minnesota is $112.00; Minnesota Health Care Programs's rate is 77% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Minnesota's full schedule: all 12,602 codes, every published period, and commercial payer rates for 12001.

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Other Minnesota Health Care Programs rates