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Fee-for-service rateAs of October 2026

Kansas Medicaid rate for CPT 11042

Kansas Medical Assistance Program pays $76.21 for CPT 11042 in its October 2026 fee-for-service schedule: the 16th-lowest of 45 state Medicaid programs, at 77% of the $98.39 median.

Non-facility rate
$76.21
Rank
30 of 45
vs. state median
77%
vs. national Medicare
57%

What Kansas Medical Assistance Program publishes for 11042

16th-lowest of 45 · 77% of median

16th-lowest of 45 · 77% of median

Schedule
October 2026
In effect since
Aug 1, 2024
$57.16 to $76.21 across 3 rate types
Max Fee
$76.21
Max Fee with Adjustment · Exempt Physician · 75% of max fee
$57.16
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$57.16

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. KMAP Provider Pricing

11042 in neighboring states

Each state's comparable non-facility rate for 11042 in its current schedule.

StateRatevs. Kansas
Colorado$61.37-19%
Missouri$98.39+29%
Nebraska$163.02+114%
Oklahoma$113.68+49%

11042 under Medicare

Medicare's 2026 national non-facility payment is $132.602; Kansas Medical Assistance Program's rate is 57% of it.

See 11042 Medicare rates

See Kansas's full schedule: all 11,545 codes, every published period, and commercial payer rates for 11042.

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Other Kansas Medical Assistance Program rates