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Fee-for-service rateAs of March 2026

New Mexico Medicaid rate for CPT 11042

New Mexico Medicaid pays $180.18 for CPT 11042 in its March 2026 fee-for-service schedule: the 2nd-highest of 45 state Medicaid programs, at 183% of the $98.39 median.

Non-facility rate
$180.18
Rank
2 of 45
vs. state median
183%
vs. NM Medicare
144%

What New Mexico Medicaid publishes for 11042

2nd-highest of 45 · 183% of median

2nd-highest of 45 · 183% of median

Schedule
March 2026
In effect since
Jan 1, 2025

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. HCA Fee Schedules

11042 in neighboring states

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

StateRatevs. New Mexico
Arizona$123.01-32%
Colorado$61.37-66%
Oklahoma$113.68-37%
Texas$106.85-41%
Utah$105.20-42%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in New Mexico is $125.55; New Mexico Medicaid's rate is 144% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See New Mexico's full schedule: all 9,139 codes, every published period, and commercial payer rates for 11042.

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Other New Mexico Medicaid rates