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Fee-for-service rateAs of July 2026

Nebraska Medicaid rate for CPT 11042

Nebraska Medicaid pays $163.02 for CPT 11042 in its July 2026 fee-for-service schedule: the 5th-highest of 45 state Medicaid programs, at 166% of the $98.39 median.

Non-facility rate
$163.02
Rank
5 of 45
vs. state median
166%
vs. NE Medicare
133%

What Nebraska Medicaid publishes for 11042

5th-highest of 45 · 166% of median

5th-highest of 45 · 166% of median

Schedule
July 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. DHHS Provider Rates & Fee Schedules

11042 in neighboring states

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

StateRatevs. Nebraska
Colorado$61.37-62%
Iowa$63.09-61%
Kansas$76.21-53%
Missouri$98.39-40%
South Dakota$125.18-23%
Wyoming$111.69-31%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Nebraska is $122.55; Nebraska Medicaid's rate is 133% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Nebraska's full schedule: all 8,474 codes, every published period, and commercial payer rates for 11042.

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Other Nebraska Medicaid rates