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Light-Activated Drug Treatment for Retina Vessels

West 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?

$257

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $269 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 4 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$257$219 to $295
FacilityA hospital or hospital-owned outpatient department$269$209 to $269

How much rates vary

Facilitymedian $269 · 10th to 90th $209 to $1,230Professionalmedian $257 · 10th to 90th $182 to $347
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $269professional $257

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
$208.93
Median
$269.15
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$446.68

Where West 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.

West Virginia $257 · 51st 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.