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Light-Activated Drug Treatment for Retina Vessels

Delaware 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?

$275

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 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 3 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$275$224 to $295
FacilityA hospital or hospital-owned outpatient department$3,236$3,236 to $7,244

How much rates vary

Facilitymedian $3,236 · 10th to 90th $214 to $7,244Professionalmedian $275 · 10th to 90th $204 to $372
$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,236professional $275

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
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$371.54

Where Delaware 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.

Delaware $275 · 46th 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.