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Light-Activated Drug Treatment for Retina Vessels

North Dakota 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?

$407

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $282 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$427$269 to $537
FacilityA hospital or hospital-owned outpatient department$282$219 to $363

How much rates vary

Facilitymedian $282 · 10th to 90th $214 to $1,995Professionalmedian $427 · 10th to 90th $214 to $631
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $282professional $427

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
$213.80
Median
$281.84
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$575.44

Where North Dakota 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.

North Dakota $407 · 11th 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.