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Eye Socket Floor Repair With an Implant

Michigan 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 $6,918 · 10th–90th $1,122$14,1250%20%10th90th$6,918$1.0K$2.0K$5.0K$10.0K

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
$1,122.02
Median
$4,897.79
Typical High
$14,125.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,897.79
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$14,791.08