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Eye Socket Floor Fracture Repair With Graft

South Carolina 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 $10,965 · 10th–90th $1,148$21,8780%10%10th90th$10,965Professionalmedian $1,148 · 10th–90th $891$2,5700%10%20%10th90th$1,148$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
$1,148.15
Median
$12,882.50
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$9,332.54
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,737.80