Montana Medicaid rate for CPT 11042
Montana Medicaid pays $175.60 for CPT 11042 in its January 2026 fee-for-service schedule: the 3rd-highest of 45 state Medicaid programs, at 178% of the $98.39 median.
- Non-facility rate
- $175.60
- Rank
- 3 of 45
- vs. state median
- 178%
- vs. MT Medicare
- 132%
What Montana Medicaid publishes for 11042
3rd-highest of 45 · 178% of median
- Schedule
- January 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. Montana Medicaid Fee Schedules
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Montana |
|---|---|---|
| Idaho | $105.98 | -40% |
| North Dakota | $146.07 | -17% |
| South Dakota | $125.18 | -29% |
| Wyoming | $111.69 | -36% |
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 Montana is $132.59; Montana Medicaid's rate is 132% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 11042.
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