Washington Medicaid rate for CPT 11042
Apple Health pays $81.41 for CPT 11042 in its October 2026 fee-for-service schedule: the 18th-lowest of 45 state Medicaid programs, at 83% of the $98.39 median.
- Non-facility rate
- $81.41
- Rank
- 28 of 45
- vs. state median
- 83%
- vs. WA Medicare
- 52-59%
What Apple Health publishes for 11042
18th-lowest of 45 · 83% of median
- Schedule
- October 2026
- Prior authorization
- Not published
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. HCA Provider Billing Guides & 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 Washington is $137.05 to $155.13 across its 2 payment localities; Apple Health's rate is 52-59% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Washington's full schedule: all 8,727 codes, every published period, and commercial payer rates for 11042.
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