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Eye Socket Floor Repair With an Implant

Massachusetts 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 $3,715 · 10th–90th $912$9,3330%10%10th90th$3,715$100.0$500.0$2.0K$10.0K$50.0K

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
$2,691.53
Median
$4,265.80
Typical High
$8,317.64
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,981.07
Typical High
$15,135.61
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$4,265.80
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,981.07
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84