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See a sample rate comparisonCPT 21044 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Exc Malign Tumor Mandible
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21044 |
| Medicaid Fee Schedule | View Medicaid rates for 21044 |
National average reimbursement for CPT 21044 by major payers:
$1,111.92
$1,166.52
$1,223.24
$1,421.82
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CPT 21044
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Overland Park Lp
$7,121.00Published rateParkview Ortho Center, LLC
Parkview Ortho Center LLC
$5,236.00Published ratePnw Eye PLLC, Pacific Northwest Eye Surgery Center
Pnw Eye, PLLC
$2,373.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$1,618.00Published rateEagle Physicians And Associates PA, Eagle Endoscopy Center
Eagle Physicians & Associates, P.A.
$500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 21044 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21044 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 21044 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 21034-CPT | High | Exc Malig Tumor Facial Bone |
| 21040-CPT | Moderate | Excision Of Benign Cyst Or Tum, Excision Of Benign Cyst Or Tumor Of Mandible Simpleexcision Of Benign Cyst Or Tumor Of Mandible Simple |
| 21044-CPT | High | Exc Malign Tumor Mandible |
| 21045-CPT | High | Exc Malig Tumor Mandible Rad Resect |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21044. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21044 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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