Ohio Medicaid rate for CPT 12001
Ohio Medicaid pays $70.72 for CPT 12001 in its January 2026 fee-for-service schedule: the 14th-lowest of 45 state Medicaid programs, at 82% of the $86.45 median.
- Non-facility rate
- $70.72
- Rank
- 32 of 45
- vs. state median
- 82%
- vs. OH Medicare
- 66%
What Ohio Medicaid publishes for 12001
14th-lowest of 45 · 82% of median
- Schedule
- January 2026
- In effect since
- Jan 1, 2024
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. Ohio Medicaid Schedules & Rates
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Ohio |
|---|---|---|
| Indiana | $83.96 | +19% |
| Kentucky | $64.92 | -8% |
| Michigan | $72.63 | +3% |
| Pennsylvania | $24.50 | -65% |
| West Virginia | $76.86 | +9% |
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 Ohio is $106.94; Ohio Medicaid's rate is 66% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 12001.
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