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Eye Socket Floor Fracture Repair With Graft

New Hampshire 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 $5,623 · 10th–90th $2,399$22,3870%10%20%10th90th$5,623Professionalmedian $1,445 · 10th–90th $977$2,3440%10%10th90th$1,445$100.0$500.0$2.0K$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
$100.00
Median
$3,467.37
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,023.29
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,862.09
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$3,019.95
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$3,090.30
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$501.19
Typical High
$1,202.26