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Eye Socket Floor Repair With an Implant

New Jersey 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 $9,333 · 10th–90th $4,365$14,1250%10%10th90th$9,333$100.0$500.0$2.0K$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
$4,365.16
Median
$9,332.54
Typical High
$14,125.38
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45