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Eye Socket Floor Fracture Repair With Graft

Alaska rates for HCPCS 21395

Repairs a break in the thin floor of the eye socket through an incision made around the eye, rebuilding the missing bone with a graft of the patient's own bone. This kind of break happens when a blow to the eye pushes the socket floor downward, letting tissue drop into the sinus below and causing double vision or a sunken-looking eye. Restoring the floor lifts the eye back into position.

Rates data updated July 2026.

Facilitymedian $2,042 · 10th–90th $955$12,0230%5%10%10th90th$2,042Professionalmedian $2,630 · 10th–90th $912$5,3700%20%10th90th$2,630$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$12,022.64
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$3,388.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,370.32
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,388.44
Typical High
$5,248.07
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,754.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,370.32
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,380.38
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$5,888.44