Nevada Medicaid rate for CPT 12001
Nevada Medicaid pays a median of $47.25 across its rate types for CPT 12001 in its July 2026 fee-for-service schedule: the 7th-lowest of 45 state Medicaid programs, at 55% of the $86.45 median.
- Non-facility rate
- $47.25
- Rank
- 39 of 45
- vs. state median
- 55%
- vs. NV Medicare
- 42%
What Nevada Medicaid publishes for 12001
7th-lowest of 45 · 55% of median
- Schedule
- July 2026
- In effect since
- Jan 1, 2024
$27.94 to $54.34 across 5 rate types
- APRN · Pediatric enhancement · Under 21
- $54.34
- Pediatric enhancement · Under 21
- $54.34
- APRN · Rate type DEF
- $47.25
- Rate type DEF
- $47.25
- Physician Assistant · Rate type PR1
- $27.94
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. Nevada Medicaid 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 non-facility payment for 12001 in Nevada is $112.97; Nevada Medicaid's rate is 42% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Nevada's full schedule: all 9,242 codes, every published period, and commercial payer rates for 12001.
Book a 15-min Medicaid walkthrough