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Light-Activated Drug Treatment for Retina Vessels

South Carolina 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?

$339

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $1,047 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$275$251 to $339
FacilityA hospital or hospital-owned outpatient department$1,047$389 to $4,898

How much rates vary

Facilitymedian $1,047 · 10th to 90th $263 to $9,772Professionalmedian $275 · 10th to 90th $200 to $447
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,047professional $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
$263.03
Median
$4,365.16
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,548.82
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$354.81
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$3,162.28
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$467.74

Where South Carolina 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.

South Carolina $339 · 22nd 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.