Fee-for-service rateAs of October 2026
Missouri Medicaid rate for CPT 11042
Debridement, subcutaneous tissue
MO HealthNet pays $98.39 for CPT 11042 in its October 2026 fee-for-service schedule: the 23rd-highest of 45 state Medicaid programs, at 100% of the $98.39 median.
- Non-facility rate
- $98.39
- Rank
- 23 of 45
- vs. state median
- 100%
- vs. national Medicare
- 74%
What MO HealthNet publishes for 11042
23rd-highest of 45 · 100% of median
23rd-highest of 45 · 100% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2022
- Prior authorization
- Not required
2 rate types
- General (54)
- $78.71
- General (55)
- $19.68
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. MO HealthNet 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 national non-facility payment is $132.602; MO HealthNet's rate is 74% of it.
See 11042 Medicare ratesSee Missouri's full schedule: all 9,451 codes, every published period, and commercial payer rates for 11042.
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