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Eye Socket Floor Repair With an Implant

Ohio 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 $8,318 · 10th–90th $1,202$12,5890%10%10th90th$8,318$20.0$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
$1,023.29
Median
$9,120.11
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$12,022.64