Vermont Medicaid rate for CPT 11042
Vermont Medicaid pays $110.83 for CPT 11042 in its October 2026 fee-for-service schedule: the 14th-highest of 45 state Medicaid programs, at 113% of the $98.39 median.
- Non-facility rate
- $110.83
- Rank
- 14 of 45
- vs. state median
- 113%
- vs. VT Medicare
- 86%
What Vermont Medicaid publishes for 11042
14th-highest of 45 · 113% of median
- Schedule
- October 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
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. Vermont Medicaid Fee Schedule Lookup
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
| State | Rate | vs. Vermont |
|---|---|---|
| Massachusetts | $100.25 | -10% |
| New Hampshire | $27.38 | -75% |
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 Vermont is $129.50; Vermont Medicaid's rate is 86% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 11042.
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