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Eye Socket Floor Repair With an Implant

Wisconsin 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 $10,233 · 10th–90th $1,820$16,9820%5%10%10th90th$10,233Professionalmedian $1,778 · 10th–90th $1,148$2,4550%10%20%10th90th$1,778$1.0K$2.0K$5.0K$10.0K$20.0K

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
$794.33
Median
$5,754.40
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$4,365.16
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,659.59
Typical High
$10,232.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,737.80
Typical High
$15,135.61
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,995.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$2,454.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$16,982.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$15,848.93