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Eye Socket Floor Fracture Repair With Graft

Arizona 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 $5,370 · 10th–90th $1,738$11,4820%10%10th90th$5,370Professionalmedian $1,047 · 10th–90th $851$2,6300%20%10th90th$1,047$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
$2,187.76
Median
$5,370.32
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,585.78
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,862.09