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Open Repair Of An Eye Socket Fracture, No Implant

Iowa rates for HCPCS 21406

Repairs a broken eye socket bone through an open incision, repositioning and stabilizing the bone without placing an implant. It is used for eye socket fractures other than the common blowout type, when the bone can be held in position on its own. Repairs that need an implant to rebuild the wall are a different operation.

Facilitymedian $4,786 · 10th–90th $912$12,5890%10%10th90th$4,786Professionalmedian $661 · 10th–90th $537$1,4790%10%20%10th90th$661$200.0$500.0$1.0K$2.0K$5.0K$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
$912.01
Median
$4,786.30
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,348.96
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$14,791.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,071.52
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,964.78
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,548.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,348.96