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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.

Rates data updated July 2026.

How much does Light-Activated Drug Treatment for Retina Vessels cost?

$339

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $1,023 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 8 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$331$269 to $447
FacilityA hospital or hospital-owned outpatient department$1,023$427 to $1,778

How much rates vary

Facilitymedian $1,023 · 10th to 90th $269 to $4,467Professionalmedian $331 · 10th to 90th $214 to $562
$200$500$1K$2K$5Kfacility $1,023professional $331

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$588.84
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
$398.11
Typical High
$616.60
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
$1,096.48
Median
$1,318.26
Typical High
$1,905.46
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$575.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$870.96
Typical High
$1,380.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$380.19
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

Where Idaho sits

The same service costs 3.8 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 26th of 51

$339

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.