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Light-Activated Drug Treatment for Retina Vessels

Alabama rates for HCPCS 67221

This is a treatment for abnormal blood vessel growth beneath the retina, often related to macular degeneration, where a light-sensitive medication is given through an intravenous line and then activated with a special low-energy light aimed into the eye. Activating the medication seals off the abnormal vessels while sparing the surrounding healthy retinal tissue.

Facilitymedian $1,479 · 10th–90th $661$2,1880%10%20%10th90th$1,479Professionalmedian $302 · 10th–90th $200$5250%10%10th90th$302$200.0$500.0$1.0K$2.0K$5.0K

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
$776.25
Median
$1,445.44
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,778.28
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,174.90
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$338.84