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Eye Socket Floor Repair With an Implant

Hawaii 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 $8,511 · 10th–90th $2,818$8,5110%50%10th$8,511Professionalmedian $871 · 10th–90th $794$1,2020%50%10th90th$871$1.0K$2.0K$5.0K

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
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95