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Eye Socket Floor Repair With an Implant

North Dakota 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 $813 · 10th–90th $794$10,0000%50%10th90th$813$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
$794.33
Median
$812.83
Typical High
$10,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$11,748.98