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Light-Activated Drug Treatment for Retina Vessels

Iowa 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 $2,239 · 10th–90th $363$5,8880%10%10th90th$2,239Professionalmedian $331 · 10th–90th $209$6760%10%10th90th$331$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
$363.08
Median
$2,290.87
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$537.03
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$676.08
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,621.81
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$676.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$616.60