Ohio Medicaid rate for CPT 11042
Ohio Medicaid pays $66.97 for CPT 11042 in its January 2026 fee-for-service schedule: the 15th-lowest of 45 state Medicaid programs, at 68% of the $98.39 median.
- Non-facility rate
- $66.97
- Rank
- 31 of 45
- vs. state median
- 68%
- vs. OH Medicare
- 54%
What Ohio Medicaid publishes for 11042
15th-lowest of 45 · 68% of median
- Schedule
- January 2026
- In effect since
- Jan 1, 2024
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. Ohio Medicaid Schedules & Rates
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Ohio |
|---|---|---|
| Indiana | $116.13 | +73% |
| Kentucky | $48.18 | -28% |
| Michigan | $84.56 | +26% |
| Pennsylvania | $33.00 | -51% |
| West Virginia | $88.82 | +33% |
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 Ohio is $124.33; Ohio Medicaid's rate is 54% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 11042.
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