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Light-Activated Drug Treatment for Retina Vessels

Colorado 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?

$339

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $3,236 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 7 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$263$240 to $339
FacilityA hospital or hospital-owned outpatient department$3,236$2,138 to $5,495

How much rates vary

Facilitymedian $3,236 · 10th to 90th $331 to $7,413Professionalmedian $263 · 10th to 90th $186 to $468
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,236professional $263

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
$331.13
Median
$3,981.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$501.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$1,412.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$616.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$562.34

Where Colorado sits

The same service costs 3.8 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $339 · 23rd of 51
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.