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Eye Socket Floor Repair With an Implant

Washington 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 $2,089 · 10th–90th $977$20,4170%5%10th90th$2,089$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
$1,513.56
Median
$7,943.28
Typical High
$21,877.62
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$8,317.64
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$7,762.47
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$1,621.81
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,778.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,378.01
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,782.79
Typical High
$33,884.42