Texas Medicaid rate for CPT 11042
Texas Medicaid pays a median of $106.85 across its rate types for CPT 11042 in its September 2026 fee-for-service schedule: the 16th-highest of 45 state Medicaid programs, at 109% of the $98.39 median.
- Non-facility rate
- $106.85
- Rank
- 16 of 45
- vs. state median
- 109%
- vs. TX Medicare
- 78-86%
What Texas Medicaid publishes for 11042
16th-highest of 45 · 109% of median
- Schedule
- September 2026
- In effect since
- Mar 1, 2025
$104.25 to $109.46 across 2 rate types
- Surgery · Under 21
- $109.46
- Surgery · Ages 21+
- $104.25
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. TMHP Static Fee Schedules
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Texas |
|---|---|---|
| Arkansas | $45.72 | -57% |
| Louisiana | $100.99 | -5% |
| New Mexico | $180.18 | +69% |
| Oklahoma | $113.68 | +6% |
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 Texas is $123.70 to $137.71 across its 8 payment localities; Texas Medicaid's rate is 78-86% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Texas's full schedule: all 8,435 codes, every published period, and commercial payer rates for 11042.
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