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Eye Socket Floor Fracture Repair With Graft

North Dakota 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 $1,000 · 10th–90th $1,000$10,0000%50%90th$1,000Professionalmedian $1,950 · 10th–90th $977$2,6300%10%10th90th$1,950$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
$1,000.00
Median
$1,000.00
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,819.70
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$17,782.79
Typical High
$19,952.62
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$2,454.71