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Eye Socket Floor Repair With an Implant

Oklahoma 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 $6,918 · 10th–90th $1,202$18,6210%5%10th90th$6,918$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,000.00
Median
$2,754.23
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$13,489.63
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,370.32
Typical High
$10,964.78