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Eye Socket Floor Fracture Repair With Graft

New Jersey 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 $9,772 · 10th–90th $4,365$14,4540%10%10th90th$9,772Professionalmedian $1,047 · 10th–90th $851$5,6230%20%10th90th$1,047$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
$4,365.16
Median
$9,772.37
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$3,162.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,548.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$2,398.83