Rhode Island Medicaid rate for CPT 12001
Rhode Island Medicaid pays $25.20 for CPT 12001 in its October 2026 fee-for-service schedule: the 2nd-lowest of 45 state Medicaid programs, at 29% of the $86.45 median.
- Non-facility rate
- $25.20
- Rank
- 44 of 45
- vs. state median
- 29%
- vs. RI Medicare
- 22%
What Rhode Island Medicaid publishes for 12001
2nd-lowest of 45 · 29% of median
- Schedule
- October 2026
- In effect since
- Apr 1, 1993
7 rate types
- Level 3 · PAC I · Up to 1 unit (AB)
- $25.20
- Level 3 · PAC P · Up to 1 unit (52)
- $12.60
- Level 3 · PAC P · Up to 1 unit (62)
- $14.49
- Level 3 · PAC P · Up to 1 unit (80)
- $3.78
- Level 3 · PAC P · Up to 1 unit (AA)
- $6.30
- Level 3 · PAC P · Up to 1 unit (AD)
- $6.30
- Level 3 · PAC P · Up to 1 unit (QZ)
- $5.04
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. EOHHS Fee Schedules
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Rhode Island |
|---|---|---|
| Connecticut | $76.33 | +203% |
| Massachusetts | $72.71 | +189% |
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 Rhode Island is $116.42; Rhode Island Medicaid's rate is 22% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 12001.
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