Delaware Medicaid rate for CPT 11042
Delaware Medical Assistance Program pays $128.88 for CPT 11042 in its January 2026 fee-for-service schedule: the 7th-highest of 45 state Medicaid programs, at 131% of the $98.39 median.
- Non-facility rate
- $128.88
- Rank
- 7 of 45
- vs. state median
- 131%
- vs. DE Medicare
- 98%
What Delaware Medical Assistance Program publishes for 11042
7th-highest of 45 · 131% of median
- Schedule
- January 2026
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. DMAP Practitioner Fee Schedule
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Delaware |
|---|---|---|
| Maryland | $92.58 | -28% |
| New Jersey | $64.66 | -50% |
| Pennsylvania | $33.00 | -74% |
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 Delaware is $131.18; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 11042.
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