Arizona Medicaid rate for CPT 11042
AHCCCS pays a median of $123.01 across its rate types for CPT 11042 in its October 2026 fee-for-service schedule: the 9th-highest of 45 state Medicaid programs, at 125% of the $98.39 median.
- Non-facility rate
- $123.01
- Rank
- 9 of 45
- vs. state median
- 125%
- vs. AZ Medicare
- 95%
What AHCCCS publishes for 11042
9th-highest of 45 · 125% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2026
$95.68 to $136.68 across 7 rate types
- General
- $136.68
- Provider type 08
- $136.68
- Provider type 31
- $136.68
- Provider type 18
- $123.01
- Provider type 19
- $123.01
- Provider type CN
- $123.01
- Provider type 82
- $95.68
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. AHCCCS Physician Rates
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Arizona |
|---|---|---|
| Colorado | $61.37 | -50% |
| New Mexico | $180.18 | +46% |
| Nevada | $64.62 | -47% |
| Utah | $105.20 | -14% |
11042 in every state
Map and ranking of every state program that prices 11042.
Compare 11042 across states11042 under Medicare
Medicare's 2026 non-facility payment for 11042 in Arizona is $129.01; AHCCCS's rate is 95% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Arizona's full schedule: all 7,610 codes, every published period, and commercial payer rates for 11042.
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