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Light-Activated Drug Treatment for Retina Vessels

Utah 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?

$295

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $3,162 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 7 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$295$224 to $447
FacilityA hospital or hospital-owned outpatient department$3,162$1,072 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $224 to $4,571Professionalmedian $295 · 10th to 90th $178 to $562
$50$100$200$500$1K$2K$5Kfacility $3,162professional $295

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
$223.87
Median
$3,162.28
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$537.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$645.65
Typical High
$741.31
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$446.68

Where Utah 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.

Utah· 39th of 51

$295

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.