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Light-Activated Drug Treatment for Retina Vessels

Washington 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 $537 · 10th–90th $269$7,9430%10%10th90th$537Professionalmedian $324 · 10th–90th $204$7590%20%10th90th$324$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$416.87
Median
$1,230.27
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$1,096.48
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,548.82
Typical High
$3,162.28
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$758.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$120.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$549.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$371.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$691.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$3,162.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,737.80
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$676.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$616.60