West Virginia Medicaid rate for CPT 12001
West Virginia Medicaid pays $76.86 for CPT 12001 in its April 2026 fee-for-service schedule: the 18th-lowest of 45 state Medicaid programs, at 89% of the $86.45 median.
- Non-facility rate
- $76.86
- Rank
- 28 of 45
- vs. state median
- 89%
- vs. WV Medicare
- 73%
What West Virginia Medicaid publishes for 12001
18th-lowest of 45 · 89% of median
- Schedule
- April 2026
- In effect since
- Apr 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. BMS Physician RBRVS Fee Schedules
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. West Virginia |
|---|---|---|
| Kentucky | $64.92 | -16% |
| Maryland | $88.44 | +15% |
| Ohio | $70.72 | -8% |
| Pennsylvania | $24.50 | -68% |
| Virginia | $98.67 | +28% |
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 West Virginia is $105.94; West Virginia Medicaid's rate is 73% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 12001.
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