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Eye Socket Floor Repair With an Implant

North Carolina 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 $1,514 · 10th–90th $776$14,1250%10%10th90th$1,514Professionalmedian $1,175 · 10th–90th $1,175$1,8620%20%40%90th$1,175$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,754.23
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,230.27
Typical High
$5,248.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$16,982.44
Typical High
$16,982.44