Indiana Medicaid rate for CPT 11042
Indiana Health Coverage Programs pays $116.13 for CPT 11042 in its September 2026 fee-for-service schedule: the 10th-highest of 45 state Medicaid programs, at 118% of the $98.39 median.
- Non-facility rate
- $116.13
- Rank
- 10 of 45
- vs. state median
- 118%
- vs. IN Medicare
- 94%
What Indiana Health Coverage Programs publishes for 11042
10th-highest of 45 · 118% of median
- Schedule
- September 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
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. IHCP Fee Schedules
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 Indiana is $123.40; Indiana Health Coverage Programs's rate is 94% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 11042.
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