Fee-for-service rateAs of October 2026
Missouri Medicaid rate for CPT 12001
Simple wound repair, 2.5 cm or less
MO HealthNet pays $86.94 for CPT 12001 in its October 2026 fee-for-service schedule: the 22nd-highest of 45 state Medicaid programs, at 101% of the $86.45 median.
- Non-facility rate
- $86.94
- Rank
- 22 of 45
- vs. state median
- 101%
- vs. national Medicare
- 76%
What MO HealthNet publishes for 12001
22nd-highest of 45 · 101% of median
22nd-highest of 45 · 101% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2019
- Prior authorization
- Not required
2 rate types
- General (54)
- $69.56
- General (55)
- $17.39
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. MO HealthNet Fee Schedules
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 national non-facility payment is $113.897; MO HealthNet's rate is 76% of it.
See 12001 Medicare ratesSee Missouri's full schedule: all 9,451 codes, every published period, and commercial payer rates for 12001.
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