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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.

Rates data updated July 2026.

How much does Light-Activated Drug Treatment for Retina Vessels cost?

$389

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$240 to $447
FacilityA hospital or hospital-owned outpatient department$1,479$891 to $1,905

How much rates vary

Facilitymedian $1,479 · 10th to 90th $562 to $2,455Professionalmedian $316 · 10th to 90th $195 to $537
$200$500$1K$2K$5K$10K$20Kfacility $1,479professional $316

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,096.48
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$537.03
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
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$331.13

Where Alabama sits

The same service costs 3.8 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.

Alabama· 13th of 51

$389

WY $977WV $257

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.