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Retinopathy Treatment in Infants

West Virginia rates for HCPCS 67229

A treatment applied to the retina, the light-sensing layer at the back of the eye, in a very young infant with a serious, progressing retinal condition such as retinopathy of prematurity. It uses a laser or a freezing technique to stop abnormal blood vessel growth and reduce the risk of vision loss or retinal detachment. It is generally performed under anesthesia given the patient's young age.

Rates data updated July 2026.

How much does Retinopathy Treatment in Infants cost?

$1,175

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,148 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$1,230$1,096 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,148$1,148 to $1,413

How much rates vary

Facilitymedian $1,148 · 10th to 90th $1,148 to $1,622Professionalmedian $1,230 · 10th to 90th $1,000 to $1,445
$50$100$200$500$1K$2Kfacility $1,148professional $1,230

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
$1,148.15
Median
$1,148.15
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,621.81

Where West Virginia sits

The same service costs 4.8 times more in California than in Hawaii. 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.

West Virginia· 50th of 51

$1,175

CA $5,129HI $1,072

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.