Wisconsin Medicaid rate for CPT 12001
ForwardHealth pays a median of $48.80 across its rate types for CPT 12001 in its August 2026 fee-for-service schedule: the 8th-lowest of 45 state Medicaid programs, at 56% of the $86.45 median.
- Non-facility rate
- $48.80
- Rank
- 38 of 45
- vs. state median
- 56%
- vs. WI Medicare
- 46%
What ForwardHealth publishes for 12001
8th-lowest of 45 · 56% of median
- Schedule
- August 2026
- In effect since
- Jul 1, 2008
$46.23 to $51.36 across 2 rate types
- Rate type C30 · 4 provider specialties · 33 places of service
- $51.36
- Rate type PT1 · Provider type 10, specialty 100 · 33 places of service
- $46.23
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. ForwardHealth Maximum Allowable Fee Schedule
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 Wisconsin is $106.36; ForwardHealth's rate is 46% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee Wisconsin's full schedule: all 7,754 codes, every published period, and commercial payer rates for 12001.
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