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Surgery to Move Widely Spaced Eye Sockets Closer

Montana rates for HCPCS 21263

Reconstructive surgery for a person whose eye sockets sit abnormally far apart, usually because of a difference in the way the skull and face formed before birth. The bone around each eye socket is cut free as a block, moved toward the midline, and secured in its corrected position.

Rates data updated July 2026.

Facilitymedian $3,802 · 10th–90th $2,884$4,2660%20%40%10th90th$3,802Professionalmedian $3,162 · 10th–90th $2,089$5,7540%10%20%10th90th$3,162$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
$2,089.30
Median
$2,691.53
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$3,890.45
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,890.45
Typical High
$4,786.30
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,890.45
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$4,168.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,019.95
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$4,365.16