Last updated: March 2026
How Much Does Macular Degeneration Treatment Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Anti-VEGF Injection (Avastin, per injection) | $600 – $1,500 | $100 – $400 |
| Anti-VEGF Injection (Eylea, per injection) | $1,800 – $3,000 | $300 – $800 |
| Photodynamic Therapy (per session) | $2,000 – $5,000 | $500 – $1,500 |
| Annual Treatment (6-12 injections) | $5,000 – $30,000 | $1,500 – $5,000 |
CPT/ADA Code: 67028, J0178, J2778
What Affects the Cost
- Type of provider (optometrist vs. ophthalmologist)
- Retail chain vs. private practice
- Vision insurance vs. health insurance coverage
- Geographic location
- Technology and equipment used
- Whether the condition is routine or medical
Insurance Coverage
Typical coverage: Treatment for macular degeneration is covered by health insurance and Medicare as a medically necessary procedure. Anti-VEGF injections are the standard treatment for wet AMD.
Vision insurance (VSP, EyeMed) covers routine eye exams ($0-$30 copay) and provides allowances for glasses ($100-$200) or contacts ($100-$200) annually. Medical eye conditions (glaucoma, cataracts, infections) are covered by health insurance, not vision insurance. The ACA mandates pediatric vision coverage.
How to Save Money
- Walmart, Costco, and America's Best offer competitive pricing
- Online retailers (Zenni, EyeBuyDirect) save 50-80% on glasses
- Vision insurance plans start at $10-$15/month
- HSA/FSA funds can cover vision expenses tax-free
- Check for free eye care programs (EyeCare America, VISION USA)
- Buy frames at one place, lenses at another for best pricing
Related Procedures & Costs
Frequently Asked Questions
Each injection costs $600 to $3,000 depending on the drug used. Avastin is the least expensive at $600 to $1,500, while Eylea costs $1,800 to $3,000.
Initially, injections are given monthly for 3 months. After that, treatment may continue every 1 to 3 months based on response, often for years.
Yes, Medicare Part B covers anti-VEGF injections at 80%, with the patient responsible for 20% coinsurance after meeting the deductible.