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Indiana rates for HCPCS 0687T

Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session

Facilitymedian $23 · 10th–90th $23$450%50%90th$23Professionalmedian $45 · 10th–90th $23$760%20%10th90th$45$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $44.67 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $52,480.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $42.66