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Light-Activated Drug Treatment for Retina Vessels

Kentucky 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?

$269

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $1,778 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$263$214 to $316
FacilityA hospital or hospital-owned outpatient department$1,778$288 to $3,890

How much rates vary

Facilitymedian $1,778 · 10th to 90th $224 to $10,715Professionalmedian $263 · 10th to 90th $195 to $417
$50.0$200.0$1.0K$5.0Kfacility $1,778professional $263

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
$223.87
Median
$416.87
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$467.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$467.74

Where Kentucky 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.

Kentucky $269 · 50th 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.