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Indiana rates for HCPCS 0688T

Treatment of amblyopia using an online digital program; assessment of patient performance and program data by physician or other qualified health care professional, with report, per calendar month

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $37.40 / $72.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.79 / $52.76 / $70.15
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
$32.50 / $32.50 / $32.50