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Eye Socket Floor Repair With an Implant

Minnesota 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 $4,786 · 10th–90th $1,288$17,7830%10%10th90th$4,786$1.0K$2.0K$5.0K$10.0K$20.0K$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
$812.83
Median
$812.83
Typical High
$6,165.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$11,481.54
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$7,943.28
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,584.89
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,709.64
Typical High
$15,135.61