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Eye Socket Floor Fracture Repair With Graft

Kentucky 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.

Facilitymedian $7,244 · 10th–90th $851$13,8040%5%10%10th90th$7,244Professionalmedian $1,000 · 10th–90th $832$1,9050%20%10th90th$1,000$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
$851.14
Median
$5,495.41
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,949.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,659.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$6,025.60
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,949.84