Iowa Medicaid rate for CPT 11042
Iowa Medicaid pays a median of $63.09 across its rate types for CPT 11042 in its September 2026 fee-for-service schedule: the 12th-lowest of 45 state Medicaid programs, at 64% of the $98.39 median.
- Non-facility rate
- $63.09
- Rank
- 34 of 45
- vs. state median
- 64%
- vs. IA Medicare
- 52%
What Iowa Medicaid publishes for 11042
12th-lowest of 45 · 64% of median
- Schedule
- September 2026
- In effect since
- Jul 1, 2024
$56.46 to $66.43 across 5 rate types
- General
- $66.43
- Provider type 03
- $66.43
- Provider type 38
- $63.09
- Provider type 68
- $57.67
- Provider type 50
- $56.46
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. Iowa HHS 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 Iowa is $121.86; Iowa Medicaid's rate is 52% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Iowa's full schedule: all 10,139 codes, every published period, and commercial payer rates for 11042.
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