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Fee-for-service rateAs of March 2026

New Mexico Medicaid rate for CPT 12001

New Mexico Medicaid pays $132.53 for CPT 12001 in its March 2026 fee-for-service schedule: the 3rd-highest of 45 state Medicaid programs, at 153% of the $86.45 median.

Non-facility rate
$132.53
Rank
3 of 45
vs. state median
153%
vs. NM Medicare
122%

What New Mexico Medicaid publishes for 12001

3rd-highest of 45 · 153% of median

3rd-highest of 45 · 153% of median

Schedule
March 2026
In effect since
Jan 1, 2025

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. HCA Fee Schedules

12001 in neighboring states

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

StateRatevs. New Mexico
Arizona$92.82-30%
Colorado$37.67-72%
Oklahoma$97.32-27%
Texas$77.81-41%
Utah$90.25-32%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in New Mexico is $108.42; New Mexico Medicaid's rate is 122% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See New Mexico's full schedule: all 9,139 codes, every published period, and commercial payer rates for 12001.

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Other New Mexico Medicaid rates