North Dakota Medicaid rate for CPT 11042
North Dakota Medicaid pays $146.07 for CPT 11042 in its August 2026 fee-for-service schedule: the 6th-highest of 45 state Medicaid programs, at 148% of the $98.39 median.
- Non-facility rate
- $146.07
- Rank
- 6 of 45
- vs. state median
- 148%
- vs. ND Medicare
- 112%
What North Dakota Medicaid publishes for 11042
6th-highest of 45 · 148% of median
- Schedule
- August 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. ND HHS Fee Schedules
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. North Dakota |
|---|---|---|
| Minnesota | $101.89 | -30% |
| Montana | $175.60 | +20% |
| South Dakota | $125.18 | -14% |
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 North Dakota is $130.02; North Dakota Medicaid's rate is 112% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee North Dakota's full schedule: all 8,971 codes, every published period, and commercial payer rates for 11042.
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