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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 October 2026.

How much does Light-Activated Drug Treatment for Retina Vessels cost?

$363

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $295 to $490.

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

Facilitymedian $363 · 10th to 90th $309 to $708Professionalmedian $363 · 10th to 90th $245 to $490
$200$500$1Kfacility $363professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$251.19
Typical High
$331.13
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$489.78
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$363.08
Typical High
$489.78
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$977.24
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$380.19
Typical High
$630.96

Where Vermont sits

The same service costs 3.5 times more in Alaska than in Florida. 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.

Vermont· 15th of 51

$363

AK $832FL $234

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.