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Light-Activated Drug Treatment for Retina Vessels

Virginia 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?

$316

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $1,738 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 8 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 $380
FacilityA hospital or hospital-owned outpatient department$1,738$295 to $4,677

How much rates vary

Facilitymedian $1,738 · 10th to 90th $229 to $8,318Professionalmedian $275 · 10th to 90th $182 to $1,288
$100.0$500.0$2.0K$10.0Kfacility $1,738professional $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
$245.47
Median
$3,235.94
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$407.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$1,513.56
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$467.74

Where Virginia 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.

Virginia $316 · 34th 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.