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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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $23.30 / $44.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $42.67 / $56.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,499.48 / $52,499.48 / $52,499.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $42.95