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Eye Socket Floor Fracture Repair With Graft

Michigan 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 $6,918 · 10th–90th $1,380$9,5500%20%10th90th$6,918Professionalmedian $1,148 · 10th–90th $871$2,0890%10%20%10th90th$1,148$500.0$1.0K$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,918.31
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,698.24
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$3,388.44
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,584.89