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Eye Socket Floor Repair With an Implant

Pennsylvania 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 $6,457 · 10th–90th $1,288$12,8820%5%10%10th90th$6,457$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
$1,047.13
Median
$6,456.54
Typical High
$12,882.50
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$11,220.18
Typical High
$29,512.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,165.95
Typical High
$12,882.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,801.89
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$17,378.01