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Fee-for-service rateAs of October 2026

Connecticut Medicaid rate for CPT 11042

Connecticut Medical Assistance Program pays $80.89 for CPT 11042 in its October 2026 fee-for-service schedule: the 17th-lowest of 45 state Medicaid programs, at 82% of the $98.39 median.

Non-facility rate
$80.89
Rank
29 of 45
vs. state median
82%
vs. CT Medicare
57%

What Connecticut Medical Assistance Program publishes for 11042

17th-lowest of 45 · 82% of median

17th-lowest of 45 · 82% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required
1 rate type
Surgery · Rate type FTS
Facility $37.48

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. CMAP Provider Fee Schedule Download

11042 in neighboring states

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

StateRatevs. Connecticut
Massachusetts$100.25+24%
Rhode Island$25.20-69%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Connecticut is $141.52; Connecticut Medical Assistance Program's rate is 57% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 11042.

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Other Connecticut Medical Assistance Program rates