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Light-Activated Drug Treatment for Retina Vessels

Illinois 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?

$347

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,148 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 6 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 $457
FacilityA hospital or hospital-owned outpatient department$1,148$513 to $2,512

How much rates vary

Facilitymedian $1,148 · 10th to 90th $302 to $5,129Professionalmedian $316 · 10th to 90th $204 to $575
$50.0$200.0$1.0K$5.0Kfacility $1,148professional $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
$288.40
Median
$1,148.15
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$1,698.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,318.26
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$645.65

Where Illinois 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.

Illinois $347 · 18th 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.