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Fee-for-service rateAs of August 2026

North Dakota Medicaid rate for CPT 12001

North Dakota Medicaid pays $123.91 for CPT 12001 in its August 2026 fee-for-service schedule: the 5th-highest of 45 state Medicaid programs, at 143% of the $86.45 median.

Non-facility rate
$123.91
Rank
5 of 45
vs. state median
143%
vs. ND Medicare
112%

What North Dakota Medicaid publishes for 12001

5th-highest of 45 · 143% of median

5th-highest of 45 · 143% of median

Schedule
August 2026
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. ND HHS Fee Schedules

12001 in neighboring states

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

StateRatevs. North Dakota
Minnesota$86.19-30%
Montana$127.87+3%
South Dakota$106.06-14%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in North Dakota is $110.33; North Dakota Medicaid's rate is 112% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See North Dakota's full schedule: all 8,971 codes, every published period, and commercial payer rates for 12001.

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Other North Dakota Medicaid rates