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Fee-for-service rateAs of July 2026

New Hampshire Medicaid rate for CPT 11042

New Hampshire Medicaid pays $27.38 for CPT 11042 in its July 2026 fee-for-service schedule: the 2nd-lowest of 45 state Medicaid programs, at 28% of the $98.39 median.

Non-facility rate
$27.38
Rank
44 of 45
vs. state median
28%
vs. NH Medicare
20%

What New Hampshire Medicaid publishes for 11042

2nd-lowest of 45 · 28% of median

2nd-lowest of 45 · 28% of median

Schedule
July 2026
In effect since
Jul 1, 2023
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. NH MMIS Documents & Forms

11042 in neighboring states

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

StateRatevs. New Hampshire
Massachusetts$100.25+266%
Vermont$110.83+305%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in New Hampshire is $135.98; New Hampshire Medicaid's rate is 20% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See New Hampshire's full schedule: all 12,538 codes, every published period, and commercial payer rates for 11042.

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Other New Hampshire Medicaid rates