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Light-Activated Drug Treatment for Retina Vessels

Michigan 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?

$282

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $1,175 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$269$240 to $347
FacilityA hospital or hospital-owned outpatient department$1,175$457 to $2,884

How much rates vary

Facilitymedian $1,175 · 10th to 90th $355 to $4,898Professionalmedian $269 · 10th to 90th $174 to $427
$50.0$200.0$1.0K$5.0Kfacility $1,175professional $269

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
$354.81
Median
$1,174.90
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$263.03
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$602.56
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$851.14
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$446.68
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,548.82
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$416.87

Where Michigan 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.

Michigan $282 · 43rd 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.