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Surgery to Move Widely Spaced Eye Sockets Closer

Wisconsin 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 $10,233 · 10th–90th $4,677$16,9820%5%10%10th90th$10,233Professionalmedian $4,571 · 10th–90th $2,188$10,9650%5%10%10th90th$4,571$50.0$200.0$1.0K$5.0K$20.0K

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
$2,187.76
Median
$4,570.88
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,760.83
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$8,912.51
Typical High
$10,232.93
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,570.88
Typical High
$10,232.93
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,548.13
Typical High
$24,547.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$9,549.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$6,760.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,786.30
Typical High
$7,079.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$16,982.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$10,964.78
Typical High
$25,703.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$12,589.25
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,162.28
Typical High
$9,332.54