# CPT 21497: Interdental wiring for treatment of fracture/dislocation

Medicare CPT 21497 pays $717.12 in a non-facility setting and $561.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $631.55 in Arkansas to $824.96 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/21497-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $717.12 |
| National facility | $561.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $824.96 | $642.00 |
| Alaska | $820.82 | $655.41 |
| California | $815.58 | $631.80 |
| New Jersey | $795.51 | $620.62 |
| Washington | $795.27 | $618.21 |
| New York | $793.80 | $620.53 |
| Massachusetts | $786.66 | $612.17 |
| Hawaii | $785.36 | $608.77 |
| Connecticut | $765.95 | $598.68 |
| Colorado | $750.44 | $585.18 |
| Maryland | $743.73 | $581.81 |
| Oregon | $743.11 | $579.48 |
| New Hampshire | $737.56 | $575.87 |
| Rhode Island | $736.31 | $575.87 |
| Florida | $734.76 | $578.93 |
| Puerto Rico | $722.91 | $565.89 |
| Virgin Islands | $722.91 | $565.89 |
| Minnesota | $721.29 | $561.48 |
| Montana | $717.08 | $561.77 |
| Nevada | $714.88 | $559.41 |
| Illinois | $714.32 | $564.25 |
| Wyoming | $712.78 | $557.46 |
| Delaware | $709.59 | $556.14 |
| Pennsylvania | $708.37 | $556.24 |
| Texas | $708.24 | $555.34 |
| North Dakota | $707.20 | $551.88 |
| South Dakota | $706.03 | $550.71 |
| Vermont | $703.37 | $549.61 |
| Virginia | $702.87 | $550.19 |
| Arizona | $697.68 | $547.18 |
| Georgia | $695.35 | $547.18 |
| Michigan | $690.41 | $544.57 |
| Maine | $686.43 | $538.03 |
| Wisconsin | $682.48 | $533.69 |
| Utah | $682.45 | $536.45 |
| New Mexico | $674.87 | $532.45 |
| North Carolina | $674.28 | $529.37 |
| South Carolina | $672.85 | $529.34 |
| Missouri | $671.62 | $529.09 |
| Louisiana | $670.10 | $528.30 |
| Ohio | $669.45 | $527.65 |
| Indiana | $668.42 | $524.45 |
| Nebraska | $664.42 | $521.07 |
| Idaho | $664.36 | $521.47 |
| Iowa | $660.34 | $518.23 |
| Tennessee | $659.39 | $518.20 |
| Kansas | $656.09 | $515.68 |
| Kentucky | $654.71 | $516.64 |
| Oklahoma | $654.60 | $515.91 |
| West Virginia | $652.34 | $517.37 |
| Alabama | $641.19 | $505.29 |
| Mississippi | $636.39 | $502.66 |
| Arkansas | $631.55 | $498.13 |

## 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 21497 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