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Fee-for-service rateAs of October 2026

Utah Medicaid rate for CPT 11042

Utah Medicaid pays a median of $105.20 across its rate types for CPT 11042 in its October 2026 fee-for-service schedule: the 19th-highest of 45 state Medicaid programs, at 107% of the $98.39 median.

Non-facility rate
$105.20
Rank
19 of 45
vs. state median
107%
vs. UT Medicare
83%

What Utah Medicaid publishes for 11042

19th-highest of 45 · 107% of median

19th-highest of 45 · 107% of median

Schedule
October 2026
In effect since
Jul 1, 2026
Prior authorization
Not required
$99.24 to $111.15 across 2 rate types
Global (Rural)
$111.15
Global
$99.24

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. Utah Medicaid Fee Schedule Lookup

11042 in neighboring states

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

StateRatevs. Utah
Arizona$123.01+17%
Colorado$61.37-42%
Idaho$105.98+1%
New Mexico$180.18+71%
Nevada$64.62-39%
Wyoming$111.69+6%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Utah is $126.43; Utah Medicaid's rate is 83% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Utah's full schedule: all 9,338 codes, every published period, and commercial payer rates for 11042.

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Other Utah Medicaid rates