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Fee-for-service rateAs of September 2026

Wyoming Medicaid rate for CPT 12001

Wyoming Medicaid pays $80.89 for CPT 12001 in its September 2026 fee-for-service schedule: the 20th-lowest of 45 state Medicaid programs, at 94% of the $86.45 median.

Non-facility rate
$80.89
Rank
26 of 45
vs. state median
94%
vs. WY Medicare
72%

What Wyoming Medicaid publishes for 12001

20th-lowest of 45 · 94% of median

20th-lowest of 45 · 94% of median

Schedule
September 2026
In effect since
Jul 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. Wyoming Medicaid Fee Schedules

12001 in neighboring states

Each state's comparable non-facility rate for 12001 in its current schedule.

StateRatevs. Wyoming
Colorado$37.67-53%
Idaho$90.11+11%
Montana$127.87+58%
Nebraska$96.32+19%
South Dakota$106.06+31%
Utah$90.25+12%

12001 under Medicare

Medicare's 2026 non-facility payment for 12001 in Wyoming is $112.33; Wyoming Medicaid's rate is 72% of that. The national amount before geographic adjustment is $113.897.

See 12001 Medicare rates

See Wyoming's full schedule: all 11,582 codes, every published period, and commercial payer rates for 12001.

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Other Wyoming Medicaid rates