CPT 44005

Enterolss Fring Intstinal Adhesion Spx

CPT 44005 pays $1,020.40 in a non-facility setting and $1,020.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $904.23 in Wisconsin to $1,270.31 in Alaska, a 40% spread.

National non-facility rate

$1,020.40

Office and other outpatient settings

Facility rate
$1,020.40

Hospital and ASC settings

Highest state
$1,270.31

Alaska

Lowest state
$904.23

Wisconsin · 40% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,020.40
CPT 44005 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,020.40, national facility $1,020.40.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,270.31$1,270.31
Florida
$1,164.84$1,164.84
Illinois
$1,151.62$1,151.62
New York
$1,134.35$1,134.35
District of Columbia
$1,117.62$1,117.62
New Jersey
$1,097.58$1,097.58
Connecticut
$1,084.87$1,084.87
Michigan
$1,065.87$1,065.87
Maryland
$1,051.34$1,051.34
West Virginia
$1,050.71$1,050.71
Massachusetts
$1,046.84$1,046.84
Washington
$1,044.80$1,044.80
Georgia
$1,038.79$1,038.79
Pennsylvania
$1,030.79$1,030.79
New Mexico
$1,028.67$1,028.67
Rhode Island
$1,024.27$1,024.27
California
$1,021.57$1,021.57
Puerto Rico
$1,021.07$1,021.07
Virgin Islands
$1,021.07$1,021.07
Montana
$1,020.09$1,020.09
New Hampshire
$1,012.41$1,012.41
Colorado
$1,011.53$1,011.53
Texas
$1,008.77$1,008.77
Delaware
$1,004.88$1,004.88
Louisiana
$1,004.25$1,004.25
Ohio
$998.33$998.33
Oregon
$997.59$997.59
Missouri
$995.99$995.99
Nevada
$995.34$995.34
Hawaii
$993.21$993.21
Arizona
$990.27$990.27
Utah
$988.88$988.88
Wyoming
$980.97$980.97
Kentucky
$977.81$977.81
South Carolina
$977.32$977.32
Virginia
$971.27$971.27
Oklahoma
$957.95$957.95
Maine
$951.85$951.85
North Carolina
$947.73$947.73
Mississippi
$943.63$943.63
Vermont
$942.81$942.81
North Dakota
$930.32$930.32
Tennessee
$925.84$925.84
Indiana
$922.92$922.92
Minnesota
$921.40$921.40
Alabama
$921.14$921.14
South Dakota
$919.71$919.71
Kansas
$919.50$919.50
Idaho
$919.08$919.08
Arkansas
$909.13$909.13
Iowa
$906.22$906.22
Nebraska
$905.48$905.48
Wisconsin
$904.23$904.23

Billed by 1 specialties

Commercial rates for 44005

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates