go back

Light-Activated Drug Treatment for Retina Vessels

Georgia 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?

$355

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $2,630 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$316$257 to $407
FacilityA hospital or hospital-owned outpatient department$2,630$1,202 to $4,365

How much rates vary

Facilitymedian $2,630 · 10th to 90th $427 to $7,079Professionalmedian $316 · 10th to 90th $209 to $537
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,630professional $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
$316.23
Median
$3,548.13
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,344.23
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$5,888.44
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$933.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,819.70
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$575.44

Where Georgia 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.

Georgia $355 · 17th 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.