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Eye Socket Floor Fracture Repair With Graft

Wisconsin 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 $10,233 · 10th–90th $2,089$20,4170%5%10%10th90th$10,233Professionalmedian $2,042 · 10th–90th $977$4,8980%5%10%10th90th$2,042$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
$977.24
Median
$2,041.74
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$20,892.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$2,041.74
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$4,073.80
Typical High
$4,570.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,041.74
Typical High
$10,232.93
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$8,511.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,344.23
Typical High
$4,168.69
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,290.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,137.96
Typical High
$3,162.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$16,982.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$4,897.79
Typical High
$8,709.64
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,495.41
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,302.69
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$4,168.69