go back

Light-Activated Drug Treatment for Retina Vessels

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $1,995 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 9 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$224 to $363
FacilityA hospital or hospital-owned outpatient department$1,995$912 to $3,715

How much rates vary

Facilitymedian $1,995 · 10th to 90th $389 to $10,233Professionalmedian $275 · 10th to 90th $200 to $603
$10.0$100.0$1.0K$10.0Kfacility $1,995professional $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
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$1,949.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$512.86
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$549.54
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,445.44
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$467.74

Where Ohio 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.

Ohio $324 · 28th 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.