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Light-Activated Drug Treatment for Retina Vessels

Connecticut 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 $4,571 · 10th–90th $525$8,5110%10%10th90th$4,571Professionalmedian $309 · 10th–90th $204$6170%10%10th90th$309$100.0$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
$524.81
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$11,748.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$549.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,677.35
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$602.56