South Dakota Medicaid rate for CPT 11042
South Dakota Medicaid pays $125.18 for CPT 11042 in its July 2026 fee-for-service schedule: the 8th-highest of 45 state Medicaid programs, at 127% of the $98.39 median.
- Non-facility rate
- $125.18
- Rank
- 8 of 45
- vs. state median
- 127%
- vs. SD Medicare
- 97%
What South Dakota Medicaid publishes for 11042
8th-highest of 45 · 127% 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. DSS Medicaid Fee Schedules
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
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 South Dakota is $129.72; South Dakota Medicaid's rate is 97% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee South Dakota's full schedule: all 7,775 codes, every published period, and commercial payer rates for 11042.
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