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Eye Socket Floor Repair With an Implant

Indiana 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 $15,488 · 10th–90th $3,020$25,7040%10%10th90th$15,488$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
$1,148.15
Median
$4,897.79
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$27,542.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,890.45
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10