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Laser Treatment Of A Spot Behind The Retina

Maine rates for HCPCS 67220

Uses a laser to seal off an abnormal area in the layer of blood vessels beneath the retina, most often leaky new vessels that threaten central vision. The light is delivered through the pupil with a lens held against the numbed eye, and treatment may be spread over more than one sitting. The aim is to stop leaking and bleeding.

Rates data updated July 2026.

How much does Laser Treatment Of A Spot Behind The Retina cost?

$759

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $631 to $813.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $537 · 10th to 90th $537 to $537Professionalmedian $759 · 10th to 90th $525 to $1,000
$500$1Kfacility $537professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$1,023.29
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,023.29

Where Maine sits

The same service costs 4.4 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 33rd of 51

$759

WY $2,455WV $562

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.