PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of July 2026

Nebraska Medicaid rate for CPT 12001

Nebraska Medicaid pays $96.32 for CPT 12001 in its July 2026 fee-for-service schedule: the 14th-highest of 45 state Medicaid programs, at 111% of the $86.45 median.

Non-facility rate
$96.32
Rank
14 of 45
vs. state median
111%
vs. NE Medicare
93%

What Nebraska Medicaid publishes for 12001

14th-highest of 45 · 111% of median

14th-highest of 45 · 111% of median

Schedule
July 2026
Prior authorization
Not required
1 rate type
General (54)
$77.06

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. DHHS Provider Rates & Fee Schedules

12001 in neighboring states

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

StateRatevs. Nebraska
Colorado$37.67-61%
Iowa$104.20+8%
Kansas$86.45-10%
Missouri$86.94-10%
South Dakota$106.06+10%
Wyoming$80.89-16%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Nebraska is $103.96; Nebraska Medicaid's rate is 93% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Nebraska's full schedule: all 8,474 codes, every published period, and commercial payer rates for 12001.

Book a 15-min Medicaid walkthrough

Other Nebraska Medicaid rates