# CPT 21462: Open treatment of mandibular fracture

Medicare CPT 21462 pays $2,034.78 in a non-facility setting and $1,106.57 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,779.91 in Arkansas to $2,349.04 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/21462-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,034.78 |
| National facility | $1,106.57 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $2,349.04 | $1,255.61 |
| California | $2,320.40 | $1,222.07 |
| Alaska | $2,295.30 | $1,306.76 |
| New Jersey | $2,262.13 | $1,216.96 |
| Washington | $2,261.90 | $1,203.73 |
| New York | $2,258.68 | $1,223.17 |
| Massachusetts | $2,236.98 | $1,194.13 |
| Hawaii | $2,234.44 | $1,179.07 |
| Connecticut | $2,178.18 | $1,178.50 |
| Colorado | $2,131.15 | $1,143.54 |
| Maryland | $2,112.57 | $1,144.91 |
| Oregon | $2,109.59 | $1,131.72 |
| New Hampshire | $2,094.59 | $1,128.32 |
| Florida | $2,091.10 | $1,159.80 |
| Rhode Island | $2,089.33 | $1,130.49 |
| Puerto Rico | $2,051.82 | $1,113.40 |
| Virgin Islands | $2,051.82 | $1,113.40 |
| Minnesota | $2,043.98 | $1,088.85 |
| Montana | $2,034.68 | $1,106.46 |
| Illinois | $2,030.26 | $1,133.38 |
| Nevada | $2,027.42 | $1,098.29 |
| Wyoming | $2,020.80 | $1,092.59 |
| Delaware | $2,011.67 | $1,094.60 |
| Pennsylvania | $2,008.46 | $1,099.27 |
| Texas | $2,007.78 | $1,093.96 |
| North Dakota | $2,002.84 | $1,074.63 |
| South Dakota | $1,999.08 | $1,070.86 |
| Vermont | $1,991.99 | $1,073.06 |
| Virginia | $1,991.39 | $1,078.96 |
| Arizona | $1,976.74 | $1,077.30 |
| Georgia | $1,971.25 | $1,085.74 |
| Michigan | $1,957.72 | $1,086.13 |
| Maine | $1,942.50 | $1,055.59 |
| Utah | $1,931.94 | $1,059.42 |
| Wisconsin | $1,929.42 | $1,040.19 |
| New Mexico | $1,910.91 | $1,059.75 |
| North Carolina | $1,906.65 | $1,040.63 |
| South Carolina | $1,903.40 | $1,045.73 |
| Missouri | $1,900.34 | $1,048.56 |
| Louisiana | $1,896.14 | $1,048.69 |
| Ohio | $1,894.05 | $1,046.59 |
| Indiana | $1,888.69 | $1,028.24 |
| Idaho | $1,876.63 | $1,022.68 |
| Nebraska | $1,876.39 | $1,019.65 |
| Iowa | $1,864.43 | $1,015.12 |
| Tennessee | $1,862.23 | $1,018.48 |
| Kansas | $1,852.34 | $1,013.24 |
| Kentucky | $1,850.10 | $1,024.92 |
| Oklahoma | $1,849.17 | $1,020.28 |
| West Virginia | $1,845.40 | $1,038.78 |
| Alabama | $1,808.62 | $996.43 |
| Mississippi | $1,795.20 | $996.01 |
| Arkansas | $1,779.91 | $982.58 |

## 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 21462 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