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Eye Socket Floor Fracture Repair With Graft

Florida 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 $8,318 · 10th–90th $1,230$16,2180%10%10th90th$8,318Professionalmedian $1,023 · 10th–90th $776$1,6220%20%10th90th$1,023$50.0$200.0$1.0K$5.0K$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
$1,148.15
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,621.81
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$6,165.95
Typical High
$13,803.84
AvMed
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$2,041.74
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$10,000.00
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$2,041.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,047.13