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Eye Socket Floor Repair With an Implant

West Virginia 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 $9,772 · 10th–90th $776$12,0230%50%10th90th$9,772$50.0$200.0$1.0K$5.0K

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
$776.25
Median
$9,772.37
Typical High
$12,022.64
CareSource
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,548.13
Typical High
$16,595.87