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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.

Facilitymedian $3,388 · 10th–90th $295$4,8980%20%10th90th$3,388Professionalmedian $275 · 10th–90th $195$4680%10%20%10th90th$275$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$446.68
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
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$524.81
Typical High
$707.95
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
$186.21
Median
$269.15
Typical High
$436.52