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See a sample rate comparisonCPT 44950 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Appendectomy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 44950 |
| Medicaid Fee Schedule | View Medicaid rates for 44950 |
National average reimbursement for CPT 44950 by major payers:
$807.14
$857.11
$913.38
$1,026.71
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CPT 44950
5 of 25 sample ratesHigher to lower in this preview
Memorial Care Surgical Center At Orange Coast, LLC
Memorial Care Surgical Center At Orange Coast LLC
$10,579.00Published rateNorthwoods Surgery Center LLC
Northwoods Surgery Center, LLC
$3,427.00Published rateMaine Eye Center, PA
Maine Eye Center
$2,300.00Published rateEye Bone, LLC, Chardon Surgery Center
Eye Bone, LLC Dba Chardon Surgery Center
$1,545.00Published rateDigestive Healthcare Of Georgia Endoscopy Center
$500.00Published rate
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See a sample payer proposalCPT 44950 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44950 code is part of the Surgery services used for Surgical Procedures on the Digestive 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 44950 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 |
|---|---|---|
| 44900-CPT | Moderate | I & D Of Appendiceal Abscess, Transabdom |
| 44950-CPT | Moderate | Appendectomy |
| 44955-CPT | Low | Appendectomy When Done For In, Appendectomy When Done For Indicated Purpose At Time Ofother Major Procedure (Not As Separate Procedure) (List Separately In Addition To Code For Primary Procedure) |
| 44960-CPT | High | Appendectomy; For Rupture Appendix W/ Absces Or Generaliz Perito, Appendectomy; For Ruptured Appendix With Abscess Or Generalized Perito |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44950 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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