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Fee-for-service rateAs of July 2026

New Hampshire Medicaid rate for CPT 12001

New Hampshire Medicaid pays $32.29 for CPT 12001 in its July 2026 fee-for-service schedule: the 3rd-lowest of 45 state Medicaid programs, at 37% of the $86.45 median.

Non-facility rate
$32.29
Rank
43 of 45
vs. state median
37%
vs. NH Medicare
28%

What New Hampshire Medicaid publishes for 12001

3rd-lowest of 45 · 37% of median

3rd-lowest of 45 · 37% of median

Schedule
July 2026
In effect since
Jul 1, 2023
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. NH MMIS Documents & Forms

12001 in neighboring states

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

StateRatevs. New Hampshire
Massachusetts$72.71+125%
Vermont$94.30+192%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in New Hampshire is $116.45; New Hampshire Medicaid's rate is 28% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See New Hampshire's full schedule: all 12,538 codes, every published period, and commercial payer rates for 12001.

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Other New Hampshire Medicaid rates