Wisconsin Medicaid rate for CPT 11042
ForwardHealth pays a median of $59.22 across its rate types for CPT 11042 in its August 2026 fee-for-service schedule: the 8th-lowest of 45 state Medicaid programs, at 60% of the $98.39 median.
- Non-facility rate
- $59.22
- Rank
- 38 of 45
- vs. state median
- 60%
- vs. WI Medicare
- 47%
What ForwardHealth publishes for 11042
8th-lowest of 45 · 60% of median
- Schedule
- August 2026
- In effect since
- Oct 1, 2009
$56.10 to $62.33 across 2 rate types
- Rate type C30 · 6 provider specialties · 32 places of service
- $62.33
- Rate type PT1 · Provider type 10, specialty 100 · 32 places of service
- $56.10
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. ForwardHealth Maximum Allowable Fee Schedule
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 Wisconsin is $125.58; ForwardHealth's rate is 47% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Wisconsin's full schedule: all 7,754 codes, every published period, and commercial payer rates for 11042.
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