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See a sample rate comparisonCPT 21044 Fee Schedule
Medicare rates as of October 2026
CPT 21044 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Exc Malign Tumor Mandible
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 51Multiple procedures GCService performed by resident under supervision |
| Hospital Outpatient Group (APC) | APC 5165 - Level 5 ENT Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $764.88 national non-facility rate (2026)View Medicare rates for 21044 |
| Medicaid Fee Schedule | $617.505 median of the 8 states in the free previewView Medicaid rates for 21044 |
National average reimbursement for CPT 21044 by major payers:
$1,111.92
BCBS / Anthem
$1,166.52
UnitedHealthcare
$1,223.24
Aetna
$1,421.82
Cigna
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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 table lists codes related to 21044. Select one to see its fee schedule.
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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Frequently Asked Questions
What APC is CPT 21044 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 21044 to APC 5165 (Level 5 ENT Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 21044 in an ambulatory surgery center?
CMS lists CPT 21044 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 21044?
Hospital price transparency files list CPT 21044 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.