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Eye Socket Floor Repair With an Implant

Montana 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 $1,380 · 10th–90th $1,047$16,2180%20%40%10th90th$1,380$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$22,387.21
Median
$22,387.21
Typical High
$22,387.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$12,022.64