Oregon Medicaid rate for CPT 12001
Oregon Health Plan pays $91.52 for CPT 12001 in its September 2026 fee-for-service schedule: the 17th-highest of 45 state Medicaid programs, at 106% of the $86.45 median.
- Non-facility rate
- $91.52
- Rank
- 17 of 45
- vs. state median
- 106%
- vs. OR Medicare
- 75-82%
What Oregon Health Plan publishes for 12001
17th-highest of 45 · 106% of median
- Schedule
- September 2026
- In effect since
- Feb 1, 2026
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. OHP Fee Schedule
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Oregon |
|---|---|---|
| Idaho | $90.11 | -2% |
| Nevada | $47.25 | -48% |
| Washington | $69.56 | -24% |
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 Oregon is $111.79 to $121.73 across its 2 payment localities; Oregon Health Plan's rate is 75-82% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 12001.
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