Idaho Medicaid rate for CPT 11042
Idaho Medicaid pays $105.98 for CPT 11042 in its October 2026 fee-for-service schedule: the 18th-highest of 45 state Medicaid programs, at 108% of the $98.39 median.
- Non-facility rate
- $105.98
- Rank
- 18 of 45
- vs. state median
- 108%
- vs. ID Medicare
- 86%
What Idaho Medicaid publishes for 11042
18th-highest of 45 · 108% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
1 rate type
- ASC Facility
- Facility $189.68256
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. Idaho Medicaid Fee Schedule
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
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 Idaho is $122.67; Idaho Medicaid's rate is 86% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 11042.
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