Georgia Medicaid rate for CPT 11042
Georgia Medicaid pays $62.57 for CPT 11042 in its July 2026 fee-for-service schedule: the 11th-lowest of 45 state Medicaid programs, at 64% of the $98.39 median.
- Non-facility rate
- $62.57
- Rank
- 35 of 45
- vs. state median
- 64%
- vs. GA Medicare
- 46-51%
What Georgia Medicaid publishes for 11042
11th-lowest of 45 · 64% of median
- Schedule
- July 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. GAMMIS Fee Schedules
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Georgia |
|---|---|---|
| Alabama | $175.06 | +180% |
| North Carolina | $53.26 | -15% |
| South Carolina | $84.54 | +35% |
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 Georgia is $123.12 to $135.10 across its 2 payment localities; Georgia Medicaid's rate is 46-51% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Georgia's full schedule: all 7,107 codes, every published period, and commercial payer rates for 11042.
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