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Light-Activated Drug Treatment for Retina Vessels

Maine 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?

$324

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $240 to $407.

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 $537 · 10th to 90th $537 to $537Professionalmedian $324 · 10th to 90th $204 to $457
$200.0$500.0$1.0K$2.0Kfacility $537professional $324

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
$173.78
Median
$269.15
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$616.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$537.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$478.63

Where Maine 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.

Maine $324 · 29th 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.