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Fee-for-service rateAs of September 2026

Alabama Medicaid rate for CPT 11042

Alabama Medicaid pays $175.06 for CPT 11042 in its September 2026 fee-for-service schedule: the 4th-highest of 45 state Medicaid programs, at 178% of the $98.39 median.

Non-facility rate
$175.06
Rank
4 of 45
vs. state median
178%
vs. AL Medicare
147%

What Alabama Medicaid publishes for 11042

4th-highest of 45 · 178% of median

4th-highest of 45 · 178% of median

Schedule
September 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. Alabama Medicaid Fee Schedules

11042 in neighboring states

Each state's comparable non-facility rate for 11042 in its current schedule.

StateRatevs. Alabama
Georgia$62.57-64%
Mississippi$106.63-39%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Alabama is $118.78; Alabama Medicaid's rate is 147% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Alabama's full schedule: all 5,928 codes, every published period, and commercial payer rates for 11042.

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Other Alabama Medicaid rates