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Fee-for-service rateAs of July 2026

Louisiana Medicaid rate for CPT 11042

Louisiana Medicaid pays $100.99 for CPT 11042 in its July 2026 fee-for-service schedule: the 21st-highest of 45 state Medicaid programs, at 103% of the $98.39 median.

Non-facility rate
$100.99
Rank
21 of 45
vs. state median
103%
vs. LA Medicare
79-83%

What Louisiana Medicaid publishes for 11042

21st-highest of 45 · 103% of median

21st-highest of 45 · 103% of median

Schedule
July 2026
In effect since
Jul 1, 2025
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. Louisiana Medicaid Fee Schedules

11042 in neighboring states

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

StateRatevs. Louisiana
Arkansas$45.72-55%
Mississippi$106.63+6%
Texas$106.85+6%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Louisiana is $121.43 to $127.56 across its 2 payment localities; Louisiana Medicaid's rate is 79-83% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Louisiana's full schedule: all 6,901 codes, every published period, and commercial payer rates for 11042.

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Other Louisiana Medicaid rates