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Light-Activated Drug Treatment for Retina Vessels

Idaho 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 $1,318 · 10th–90th $295$5,4950%10%10th90th$1,318Professionalmedian $347 · 10th–90th $204$6310%5%10%10th90th$347$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,412.54
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$812.83
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$467.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$831.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$1,862.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$575.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$4,168.69
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$512.86