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Light-Activated Drug Treatment for Retina Vessels

Vermont 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?

$269

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $245 to $331.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $269 · 10th to 90th $209 to $380
$200.0$500.0$1.0K$2.0Kprofessional $269

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
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$489.78
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$676.08

Where Vermont 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.

Vermont $269 · 49th 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.