Washington Medicaid rate for CPT 12001
Apple Health pays $69.56 for CPT 12001 in its October 2026 fee-for-service schedule: the 13th-lowest of 45 state Medicaid programs, at 80% of the $86.45 median.
- Non-facility rate
- $69.56
- Rank
- 33 of 45
- vs. state median
- 80%
- vs. WA Medicare
- 53-59%
What Apple Health publishes for 12001
13th-lowest of 45 · 80% of median
- Schedule
- October 2026
- Prior authorization
- Not published
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. HCA Provider Billing Guides & Fee Schedules
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
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 Washington is $117.08 to $132.44 across its 2 payment localities; Apple Health's rate is 53-59% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Washington's full schedule: all 8,727 codes, every published period, and commercial payer rates for 12001.
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