Rhode Island Medicaid rate for CPT 11042
Rhode Island Medicaid pays $25.20 for CPT 11042 in its October 2026 fee-for-service schedule: the lowest of 45 state Medicaid programs, at 26% of the $98.39 median.
- Non-facility rate
- $25.20
- Rank
- 45 of 45
- vs. state median
- 26%
- vs. RI Medicare
- 19%
What Rhode Island Medicaid publishes for 11042
Lowest of 45 · 26% of median
- Schedule
- October 2026
- In effect since
- Apr 1, 1993
11 rate types
- Level 3 · PAC I · Up to 1 unit (59 + 79)
- $25.20
- Level 3 · PAC I · Up to 1 unit (AB)
- $25.20
- Level 3 · PAC P · Up to 1 unit (50)
- $37.80
- Level 3 · PAC P · Up to 1 unit (62)
- $14.49
- Level 3 · PAC P · Up to 1 unit (80 + 59)
- $3.78
- Level 3 · PAC P · Up to 1 unit (80)
- $3.78
- Level 3 · PAC P · Up to 1 unit (AA)
- $6.30
- Level 3 · PAC P · Up to 1 unit (AD)
- $6.30
- Level 3 · PAC P · Up to 1 unit (QX)
- $2.52
- Level 3 · PAC P · Up to 1 unit (QY)
- $2.52
- Level 3 · PAC P · Up to 1 unit (QZ)
- $5.04
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. EOHHS Fee Schedules
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Rhode Island |
|---|---|---|
| Connecticut | $80.89 | +221% |
| Massachusetts | $100.25 | +298% |
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 Rhode Island is $135.91; Rhode Island Medicaid's rate is 19% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 11042.
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