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Light-Activated Drug Treatment for Retina Vessels

New Mexico 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 negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $427 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$316$257 to $427
FacilityA hospital or hospital-owned outpatient department$427$282 to $2,089

How much rates vary

Facilitymedian $427 · 10th to 90th $251 to $2,630Professionalmedian $316 · 10th to 90th $219 to $479
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $427professional $316

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
$263.03
Median
$446.68
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,454.71
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$478.63

Where New Mexico 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.

New Mexico $324 · 30th 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.