Maryland Medicaid rate for CPT 11042
Maryland Medicaid pays $92.58 for CPT 11042 in its September 2026 fee-for-service schedule: the 22nd-lowest of 45 state Medicaid programs, at 94% of the $98.39 median.
- Non-facility rate
- $92.58
- Rank
- 24 of 45
- vs. state median
- 94%
- vs. MD Medicare
- 61-69%
What Maryland Medicaid publishes for 11042
22nd-lowest of 45 · 94% of median
- Schedule
- September 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. MDH Professional Services Fee Schedule
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Maryland |
|---|---|---|
| Delaware | $128.88 | +39% |
| Pennsylvania | $33.00 | -64% |
| Virginia | $114.87 | +24% |
| West Virginia | $88.82 | -4% |
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 Maryland is $133.72 to $151.86 across its 3 payment localities; Maryland Medicaid's rate is 61-69% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Maryland's full schedule: all 8,533 codes, every published period, and commercial payer rates for 11042.
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