go back

Light-Activated Drug Treatment for Retina Vessels

Maryland 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?

$288

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $257 to $347.

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.

How much rates vary

Facilitymedian $295 · 10th to 90th $126 to $427Professionalmedian $282 · 10th to 90th $219 to $562
$200$500$1Kfacility $295professional $282

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$691.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$407.38

Where Maryland 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.

Maryland· 41st of 51

$288

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.