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Light-Activated Drug Treatment for Retina Vessels

Florida 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 $3,311 · 10th–90th $575$11,4820%5%10%10th90th$3,311Professionalmedian $263 · 10th–90th $182$5250%20%10th90th$263$50.0$200.0$1.0K$5.0K$20.0K

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
$562.34
Median
$3,388.44
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$537.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$4,265.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$12,589.25
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$588.84
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,090.30
Typical High
$6,309.57
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,238.72
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$436.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$295.12