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Light-Activated Drug Treatment for Retina Vessels

Montana 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?

$331

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $437 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 5 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$275$229 to $447
FacilityA hospital or hospital-owned outpatient department$437$355 to $479

How much rates vary

Facilitymedian $437 · 10th to 90th $347 to $501Professionalmedian $275 · 10th to 90th $178 to $708
$200$500$1Kfacility $437professional $275

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
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$501.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$288.40
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$562.34

Where Montana 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.

Montana· 27th of 51

$331

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.