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Surgery to Move Widely Spaced Eye Sockets Closer

New Hampshire 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 $6,166 · 10th–90th $2,399$9,7720%10%20%10th90th$6,166Professionalmedian $3,236 · 10th–90th $1,995$5,2480%10%10th90th$3,236$100.0$500.0$2.0K$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
Facility
Modifier
Global
Typical Low
$100.00
Median
$7,244.36
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$4,168.69
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$6,760.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$6,918.31
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,691.53