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Light-Activated Drug Treatment for Retina Vessels

Tennessee 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?

$316

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,445 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 6 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$295$257 to $389
FacilityA hospital or hospital-owned outpatient department$1,445$891 to $2,399

How much rates vary

Facilitymedian $1,445 · 10th to 90th $468 to $3,236Professionalmedian $295 · 10th to 90th $195 to $501
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,445professional $295

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
$467.74
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$524.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,288.25
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,380.38
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$512.86

Where Tennessee 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.

Tennessee $316 · 32nd 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.