# CPT 21440: Closed treatment of mandibular/maxillary alveolar ridge fracture, dental splinting

Medicare CPT 21440 pays $794.27 in a non-facility setting and $601.55 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $692.54 in Arkansas to $920.74 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/21440-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $794.27 |
| National facility | $601.55 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $920.74 | $693.71 |
| California | $913.07 | $685.03 |
| Washington | $887.71 | $668.00 |
| Alaska | $886.33 | $681.08 |
| New Jersey | $885.32 | $668.31 |
| New York | $882.37 | $667.37 |
| Hawaii | $878.81 | $659.69 |
| Massachusetts | $877.25 | $660.73 |
| Connecticut | $851.19 | $643.62 |
| Colorado | $834.75 | $629.69 |
| Oregon | $826.39 | $623.35 |
| Maryland | $825.29 | $624.38 |
| New Hampshire | $819.59 | $618.96 |
| Rhode Island | $816.66 | $617.57 |
| Florida | $811.67 | $618.31 |
| Minnesota | $802.31 | $604.00 |
| Puerto Rico | $801.36 | $606.52 |
| Virgin Islands | $801.36 | $606.52 |
| Montana | $794.24 | $601.52 |
| Nevada | $792.26 | $599.35 |
| Wyoming | $790.10 | $597.38 |
| Illinois | $786.78 | $600.56 |
| Delaware | $785.22 | $594.81 |
| North Dakota | $784.75 | $592.03 |
| South Dakota | $783.63 | $590.90 |
| Texas | $783.42 | $593.69 |
| Pennsylvania | $782.73 | $593.96 |
| Vermont | $779.69 | $588.89 |
| Virginia | $778.23 | $588.79 |
| Arizona | $771.31 | $584.56 |
| Georgia | $766.94 | $583.09 |
| Michigan | $760.16 | $579.19 |
| Maine | $758.64 | $574.49 |
| Wisconsin | $755.19 | $570.56 |
| Utah | $752.66 | $571.50 |
| North Carolina | $743.84 | $564.03 |
| New Mexico | $742.19 | $565.46 |
| South Carolina | $741.23 | $563.15 |
| Missouri | $739.16 | $562.30 |
| Indiana | $737.39 | $558.73 |
| Louisiana | $737.06 | $561.10 |
| Ohio | $736.43 | $560.47 |
| Nebraska | $732.99 | $555.11 |
| Idaho | $732.52 | $555.21 |
| Iowa | $727.97 | $551.62 |
| Tennessee | $726.21 | $551.03 |
| Kansas | $722.35 | $548.13 |
| Oklahoma | $719.40 | $547.30 |
| Kentucky | $718.95 | $547.62 |
| West Virginia | $713.89 | $546.42 |
| Alabama | $704.02 | $535.39 |
| Mississippi | $697.47 | $531.53 |
| Arkansas | $692.54 | $526.99 |

## Related codes

- 21010: Arthrotomy, temporomandibular joint — https://www.med-reveal.com/rates/21010-cpt-fee-schedule
- 21031: Excision of torus mandibularis — https://www.med-reveal.com/rates/21031-cpt-fee-schedule
- 21032: Excision of maxillary torus palatinus — https://www.med-reveal.com/rates/21032-cpt-fee-schedule
- 21060: Meniscectomy, partial or complete, temporomandibular joint — https://www.med-reveal.com/rates/21060-cpt-fee-schedule
- 21085: Impression and custom preparation, oral surgical splint — https://www.med-reveal.com/rates/21085-cpt-fee-schedule
- 21421: Closed treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21421-cpt-fee-schedule
- 21422: Open treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21422-cpt-fee-schedule
- 21432: Percutaneous treatment of craniofacial separation — https://www.med-reveal.com/rates/21432-cpt-fee-schedule

Commercial negotiated rates for 21440 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules