Nevada Medicaid rate for CPT 11042
Nevada Medicaid pays a median of $64.62 across its rate types for CPT 11042 in its July 2026 fee-for-service schedule: the 13th-lowest of 45 state Medicaid programs, at 66% of the $98.39 median.
- Non-facility rate
- $64.62
- Rank
- 33 of 45
- vs. state median
- 66%
- vs. NV Medicare
- 49%
What Nevada Medicaid publishes for 11042
13th-lowest of 45 · 66% of median
- Schedule
- July 2026
- In effect since
- Jan 1, 2024
$38.22 to $74.31 across 5 rate types
- APRN · Pediatric enhancement · Under 21
- $74.31
- Pediatric enhancement · Under 21
- $74.31
- APRN · Rate type DEF
- $64.62
- Rate type DEF
- $64.62
- Physician Assistant · Rate type PR1
- $38.22
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. Nevada Medicaid 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 non-facility payment for 11042 in Nevada is $131.97; Nevada Medicaid's rate is 49% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Nevada's full schedule: all 9,242 codes, every published period, and commercial payer rates for 11042.
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