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Fee-for-service rateAs of July 2026

Oklahoma Medicaid rate for CPT 11042

SoonerCare pays $113.68 for CPT 11042 in its July 2026 fee-for-service schedule: the 12th-highest of 45 state Medicaid programs, at 116% of the $98.39 median.

Non-facility rate
$113.68
Rank
12 of 45
vs. state median
116%
vs. OK Medicare
94%

What SoonerCare publishes for 11042

12th-highest of 45 · 116% of median

12th-highest of 45 · 116% of median

Schedule
July 2026
In effect since
Jul 1, 2026

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. OHCA Fee Schedule

11042 in neighboring states

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

StateRatevs. Oklahoma
Arkansas$45.72-60%
Colorado$61.37-46%
Kansas$76.21-33%
Missouri$98.39-13%
New Mexico$180.18+58%
Texas$106.85-6%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Oklahoma is $121.41; SoonerCare's rate is 94% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Oklahoma's full schedule: all 9,711 codes, every published period, and commercial payer rates for 11042.

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Other SoonerCare rates