Michigan Medicaid rate for CPT 11042
Michigan Medicaid pays $84.56 for CPT 11042 in its September 2026 fee-for-service schedule: the 20th-lowest of 45 state Medicaid programs, at 86% of the $98.39 median.
- Non-facility rate
- $84.56
- Rank
- 26 of 45
- vs. state median
- 86%
- vs. MI Medicare
- 64-68%
What Michigan Medicaid publishes for 11042
20th-lowest of 45 · 86% of median
- Schedule
- September 2026
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. MDHHS Practitioner Fee Schedule
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 Michigan is $124.85 to $132.24 across its 2 payment localities; Michigan Medicaid's rate is 64-68% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Michigan's full schedule: all 9,255 codes, every published period, and commercial payer rates for 11042.
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