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Fee-for-service rateAs of September 2026

Wyoming Medicaid rate for CPT 11042

Wyoming Medicaid pays $111.69 for CPT 11042 in its September 2026 fee-for-service schedule: the 13th-highest of 45 state Medicaid programs, at 114% of the $98.39 median.

Non-facility rate
$111.69
Rank
13 of 45
vs. state median
114%
vs. WY Medicare
85%

What Wyoming Medicaid publishes for 11042

13th-highest of 45 · 114% of median

13th-highest of 45 · 114% of median

Schedule
September 2026
In effect since
Jul 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. Wyoming Medicaid Fee Schedules

11042 in neighboring states

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

StateRatevs. Wyoming
Colorado$61.37-45%
Idaho$105.98-5%
Montana$175.60+57%
Nebraska$163.02+46%
South Dakota$125.18+12%
Utah$105.20-6%

11042 under Medicare

Medicare's 2026 non-facility payment for 11042 in Wyoming is $131.47; Wyoming Medicaid's rate is 85% of that. The national amount before geographic adjustment is $132.602.

See 11042 Medicare rates

See Wyoming's full schedule: all 11,582 codes, every published period, and commercial payer rates for 11042.

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Other Wyoming Medicaid rates