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Light-Activated Drug Treatment for Retina Vessels

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $5,370 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$263$209 to $339
FacilityA hospital or hospital-owned outpatient department$5,370$3,388 to $7,079

How much rates vary

Facilitymedian $5,370 · 10th to 90th $479 to $10,471Professionalmedian $263 · 10th to 90th $186 to $631
$200$500$1K$2K$5K$10Kfacility $5,370professional $263

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
$363.08
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$457.09
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$1,949.84
Typical High
$2,884.03
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$457.09

Where New Jersey 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.

New Jersey· 44th of 51

$282

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.