Oregon Medicaid rate for CPT 11042
Oregon Health Plan pays $107.14 for CPT 11042 in its September 2026 fee-for-service schedule: the 15th-highest of 45 state Medicaid programs, at 109% of the $98.39 median.
- Non-facility rate
- $107.14
- Rank
- 15 of 45
- vs. state median
- 109%
- vs. OR Medicare
- 75-82%
What Oregon Health Plan publishes for 11042
15th-highest of 45 · 109% of median
- Schedule
- September 2026
- In effect since
- Feb 1, 2026
$107.14 to $178.41 across 2 rate types
- Rate type A
- $178.41
- General
- $107.14
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. OHP Fee Schedule
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Oregon |
|---|---|---|
| Idaho | $105.98 | -1% |
| Nevada | $64.62 | -40% |
| Washington | $81.41 | -24% |
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 Oregon is $130.93 to $142.62 across its 2 payment localities; Oregon Health Plan's rate is 75-82% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 11042.
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