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Eye Socket Floor Fracture Repair With Graft

New Mexico 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 $1,479 · 10th–90th $955$11,7490%10%10th90th$1,479Professionalmedian $1,023 · 10th–90th $891$3,1620%20%10th90th$1,023$50.0$200.0$1.0K$5.0K$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
$1,412.54
Median
$2,089.30
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$1,995.26