Montana Medicaid rate for CPT 12001
Montana Medicaid pays $127.87 for CPT 12001 in its January 2026 fee-for-service schedule: the 4th-highest of 45 state Medicaid programs, at 148% of the $86.45 median.
- Non-facility rate
- $127.87
- Rank
- 4 of 45
- vs. state median
- 148%
- vs. MT Medicare
- 112%
What Montana Medicaid publishes for 12001
4th-highest of 45 · 148% of median
- Schedule
- January 2026
- In effect since
- Jul 1, 2025
- 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. Montana Medicaid Fee Schedules
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Montana |
|---|---|---|
| Idaho | $90.11 | -30% |
| North Dakota | $123.91 | -3% |
| South Dakota | $106.06 | -17% |
| Wyoming | $80.89 | -37% |
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 Montana is $113.89; Montana Medicaid's rate is 112% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 12001.
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