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Rebuilding The Eye Socket With Bone Grafts

Montana rates for HCPCS 21256

Reshapes and enlarges the bony eye socket by cutting the surrounding bone and adding grafts of the patient's own bone, working from outside the skull rather than through it. It is used when a socket is underdeveloped or misshapen, for example when the eye itself did not grow to full size, so the socket can properly hold and support the eye or an artificial eye. The work rebuilds the walls of the socket rather than shifting the whole socket to a new position.

Rates data updated July 2026.

Facilitymedian $2,138 · 10th–90th $1,622$2,5700%50%10th90th$2,138Professionalmedian $1,738 · 10th–90th $1,096$2,7540%10%20%10th90th$1,738$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,659.59
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$2,089.30
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,659.59
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$2,398.83