Vermont Medicaid rate for CPT 12001
Vermont Medicaid pays $94.30 for CPT 12001 in its October 2026 fee-for-service schedule: the 15th-highest of 45 state Medicaid programs, at 109% of the $86.45 median.
- Non-facility rate
- $94.30
- Rank
- 15 of 45
- vs. state median
- 109%
- vs. VT Medicare
- 86%
What Vermont Medicaid publishes for 12001
15th-highest of 45 · 109% of median
- Schedule
- October 2026
- In effect since
- Jan 1, 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. Vermont Medicaid Fee Schedule Lookup
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. Vermont |
|---|---|---|
| Massachusetts | $72.71 | -23% |
| New Hampshire | $32.29 | -66% |
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 Vermont is $110.12; Vermont Medicaid's rate is 86% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 12001.
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