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Eye Socket Floor Repair With an Implant

Arizona rates for HCPCS 21390

Repairs a broken floor of the eye socket through an incision close to the eye, freeing tissue that has dropped or become trapped in the break. A thin synthetic sheet is then placed to rebuild the floor and support the eyeball in its normal position. It is used when the socket floor has been punched downward by a blow to the eye.

Rates data updated July 2026.

Facilitymedian $5,370 · 10th–90th $1,413$10,9650%10%10th90th$5,370$1.0K$2.0K$5.0K$10.0K$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
$2,089.30
Median
$5,370.32
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,585.78
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$8,709.64